Provider Demographics
NPI:1942836069
Name:AMANY HARARAH
Entity Type:Organization
Organization Name:AMANY HARARAH
Other - Org Name:AMANY HARARAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARARAH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:650-245-2928
Mailing Address - Street 1:3694 HILBORN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-7988
Mailing Address - Country:US
Mailing Address - Phone:650-245-2928
Mailing Address - Fax:
Practice Address - Street 1:3694 HILBORN RD STE 150
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-7993
Practice Address - Country:US
Practice Address - Phone:650-245-2928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty