| Doctor Name: | SUSANNA FARINA |
| NPI Number: | 1013089945 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PSY#23782 |
| Business Practice Address: | 430 S Blosser Rd Santa Maria, CA - 934584908 |
| Business Phone Number: | 8053618900 |
| Business Fax Number: | 8053618990 |
| Mailing Address: | 2050 S Blosser Rd, SANTA MARIA |
| State: | CA |
| Postal Code: | 934587310 |
| Phone Number: | 8053618028 |
| Fax Number: | 8053618097 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY#23782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |