Basic Information
| Provider Information | |||||||||
| NPI: | 1144766114 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FARSHID | ||||||||
| FirstName: | ARASH | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PSYCHOLOGY SERVICE (116B2), P.O. BOX 4000 | ||||||||
| Address2: | JAMES H. QUILLEN VA MEDICAL CENTER | ||||||||
| City: | MOUNTAIN HOME | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376844000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239261171 | ||||||||
| FaxNumber: | 4239793431 | ||||||||
| Practice Location | |||||||||
| Address1: | JAMES H. QUILLEN VA MEDICAL CENTER | ||||||||
| Address2: | PSYCHOLOGY SERVICE (116B2) | ||||||||
| City: | MOUNTAIN HOME | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376844000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239261171 | ||||||||
| FaxNumber: | 4239793431 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2017 | ||||||||
| LastUpdateDate: | 01/13/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 28906 | CA | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.