Doctor Name: | MARK FARIN |
NPI Number: | 1063842136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPC |
License Number: | PC007187 |
Business Practice Address: | 2000 Old West Chester Pike Havertown, PA - 190832712 |
Business Phone Number: | 4844548700 |
Business Fax Number: | 4844548706 |
Mailing Address: | 2000 Old West Chester Pike, HAVERTOWN |
State: | PA |
Postal Code: | 190832712 |
Phone Number: | 4844548700 |
Fax Number: | 4844548706 |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC007187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |