| Doctor Name: | LYNETTE VIRGINIA FARR |
| NPI Number: | 1023158466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LMFT |
| License Number: | MFT000296 |
| Business Practice Address: | 240 Corporate Center Dr Suite D Stockbridge, GA - 302817214 |
| Business Phone Number: | 7705074124 |
| Business Fax Number: | 7705074124 |
| Mailing Address: | 240 Corporate Center Dr, Suite D STOCKBRIDGE |
| State: | GA |
| Postal Code: | 302817214 |
| Phone Number: | 7705074124 |
| Fax Number: | 7705074124 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | MFT000296 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |