| Farida Anwar Phd Llc | |
|
314 Maxwell Rd Ste 400 Alpharetta GA 30009-2045 | |
| (626) 221-6104 | |
| (770) 442-1915 |
| Full Name | Farida Anwar Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 314 Maxwell Rd Ste 400, Alpharetta, Georgia |
| Authorized Official Name and Position | Farida Anwar (OWNER) |
| Authorized Official Contact | 6262216104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farida Anwar Phd Llc 314 Maxwell Rd Ste 400 Alpharetta GA 30009-2045 Ph: (626) 221-6104 | Farida Anwar Phd Llc 314 Maxwell Rd Ste 400 Alpharetta GA 30009-2045 Ph: (626) 221-6104 |
| NPI Number | 1700486644 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 3274946645 |
|---|---|
| Medicare Enrollment ID | O20201231001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700486644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Farida Anwar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467688820 PECOS PAC ID: 2860637394 Enrollment ID: I20190514002785 |
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