Healthcare Provider Details

I. General information

NPI: 1477248540
Provider Name (Legal Business Name): SAEMA RAHMANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 PEARL WOOD WAY
ANTELOPE CA
95843-5208
US

IV. Provider business mailing address

2013 TIOGA PASS WAY
ANTIOCH CA
94531-9060
US

V. Phone/Fax

Practice location:
  • Phone: 925-726-9308
  • Fax:
Mailing address:
  • Phone: 925-726-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SAEMA RAHMANY
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 925-726-9308