Kezel, Fariba
Kezel, Fariba is an sole proprietor health care provider with primary practice located at 4199 Campus Dr Suite 550, Irvine CA 92612-4696. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Kezel, Fariba can be contacted via phone (714) 490-4965.Contact Information
Primary practice address
4199 Campus Dr Suite 550
Irvine CA 92612-4696
Phone: (714) 490-4965
Fax: (949) 509-6599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY20295 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20295 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20295 | California |
Profile Details
NPI number | 1912041484 |
---|---|
LBN Legal business name | Kezel, Fariba |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2007 |
Last updated | Dec 2nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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