Doctor Name: | ELIZABETH G FARLEY |
NPI Number: | 1023274982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5405 |
Business Practice Address: | 369 Wareham Road Marion, MA - 02738 |
Business Phone Number: | 5087480437 |
Business Fax Number: | 5087480437 |
Mailing Address: | 34 Upland Drive, MIDDLEBORO |
State: | MA |
Postal Code: | 02346 |
Phone Number: | 5089460230 |
Fax Number: | 5089460230 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 06/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |