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Tara Fishback, PhD

Psychologist, Clinical in Pleasanton, CA. Individual provider (NPI-1).

NPI number1295546232
StatusActive
Last updated in NPPESJan 17, 2025

Details

NPI
1295546232
Entity type
Individual (NPI-1)
Name
Tara Fishback
Credential
PhD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2025
Certification date
Jan 17, 2025
Last updated
Jan 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY35620CAYes

Practice location

3825 Hopyard Rd Ste 220
Pleasanton, CA 94588-2786

Phone 925-847-5051

Mailing address

4415 Valley Ave Apt K
Pleasanton, CA 94566-5583

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