Provider Demographics
NPI:1366165409
Name:IBRAHIM, FARAH ALMAS (PHD, LICENSED PSYCHO)
Entity type:Individual
Prefix:DR
First Name:FARAH
Middle Name:ALMAS
Last Name:IBRAHIM
Suffix:
Gender:F
Credentials:PHD, LICENSED PSYCHO
Other - Prefix:DR
Other - First Name:FARAH
Other - Middle Name:A
Other - Last Name:IBRAHIM-SCHROEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LICENSED PSYCHO
Mailing Address - Street 1:14085 BLUE RIVER TRAIL
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-3914
Mailing Address - Country:US
Mailing Address - Phone:303-947-7046
Mailing Address - Fax:
Practice Address - Street 1:14085 BLUE RIVER TRAIL
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-3914
Practice Address - Country:US
Practice Address - Phone:303-947-7046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003172103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist