| Doctor Name: | DR. LYNN MARIE FARNEY |
| NPI Number: | 1003848730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 4748 |
| Business Practice Address: | 109 W Main St Medway, OH - 453411109 |
| Business Phone Number: | 9378491600 |
| Business Fax Number: | 9378491646 |
| Mailing Address: | 109 W Main St, MEDWAY |
| State: | OH |
| Postal Code: | 453411109 |
| Phone Number: | 9378491600 |
| Fax Number: | 9378491646 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 4748 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |