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

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

Healthcare Provider's Profile

Full Name	Dr Amanda E Fargo
Gender	Female
Speciality	Psychologist - Clinical
Location	231a Main St, Ben Lomond, California
Accepts Medicare Assignments	Does 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.

Identifier	Type	State	Issuer
1336455740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - 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 Address	Practice 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

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