Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fatemeh Ahdi Bani-Taba, PSYD

Individual provider Clinical Psychologist · NPI 1144413725

Dr. Fatemeh Ahdi Bani-Taba, PSYD is a Clinical Psychologist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

401 Bicentennial Way Mob E
Santa Rosa, CA 95403-2149
Phone: (707) 571-5181
Fax: (707) 571-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY18968 (CA)

Record details

NPI number1144413725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007

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