| Doctor Name: | DR. SUSAN K FARON |
| NPI Number: | 1023245420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY10087 |
| Business Practice Address: | 43 Quail Ct Suite 211 Walnut Creek, CA - 945968701 |
| Business Phone Number: | 9259322090 |
| Business Fax Number: | |
| Mailing Address: | 954 Risa Rd, Suite B LAFAYETTE |
| State: | CA |
| Postal Code: | 945493418 |
| Phone Number: | 9259322090 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2009 |
| NPI Last Update Date: | 07/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY10087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |