| Doctor Name: | DR. DONNA FARRELL |
| NPI Number: | 1164846796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LSSP |
| License Number: | 6306 / 14885 |
| Business Practice Address: | 46721 Ih 10 Winnie, TX - 776658499 |
| Business Phone Number: | 4092968612 |
| Business Fax Number: | 4092962548 |
| Mailing Address: | 46721 Ih 10, WINNIE |
| State: | TX |
| Postal Code: | 776658499 |
| Phone Number: | 4092968612 |
| Fax Number: | 4092962548 |
| NPI Enumeration Date: | 02/18/2014 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 6306 / 14885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |