Dr Amanda E Fargo, PSYD - Psychologist in Ben Lomond, CA

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Dr Amanda E Fargo, PSYD is a Psychologist - Clinical based in Ben Lomond, California. Dr Amanda E Fargo is licensed to practice in California (license number 21619) and her current practice location is 231a Main St, Ben Lomond, California. She can be reached at her office (for appointments etc.) via phone at (831) 246-0456.

NPI number for Dr Amanda E Fargo is 1336455740 and her current mailing address is 501 Mission St Ste 106, Santa Cruz, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336455740.

Contact Information

Dr Amanda E Fargo, PSYD
231a Main St,
Ben Lomond, CA 95005-9394
(831) 246-0456
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Amanda E Fargo
GenderFemale
SpecialityPsychologist - Clinical
Location231a Main St, Ben Lomond, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336455740
  • Provider Enumeration Date: 08/23/2010
  • Last Update Date: 05/08/2019

Medical Identifiers

Medical identifiers for Dr Amanda E Fargo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336455740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 21619 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda E Fargo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Amanda E Fargo, PSYD
501 Mission St Ste 106,
Santa Cruz, CA 95060-3687

Ph: (831) 246-0456		Dr Amanda E Fargo, PSYD
231a Main St,
Ben Lomond, CA 95005-9394

Ph: (831) 246-0456

Reviews and Comments


Psychologist in Ben Lomond, CA


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