Individual provider · Type 1 NPI

Miriam Fagan, PSYD

Clinical Psychologist · San Rafael, CA

NPI number 1487283685 Active

Practice location

111 Smith Ranch Rd
San Rafael, CA 94903-1939

Call (415) 491-3003 Map

Mailing address

775 E Blithedale Ave # 141
Mill Valley, CA 94941-1554

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X31718 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1487283685

Miriam Fagan, PSYD's National Provider Identifier is 1487283685, issued on Apr 8, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Rafael, CA. The record was last updated on Apr 2, 2024.