Doctor Name: | DR. BRIAN LAWRENCE FARRAN |
NPI Number: | 1396721239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 016443 |
Business Practice Address: | 8 Speir Dr South Orange, NJ - 070791024 |
Business Phone Number: | 9733274393 |
Business Fax Number: | 9733526578 |
Mailing Address: | 8 Speir Dr, SOUTH ORANGE |
State: | NJ |
Postal Code: | 070791024 |
Phone Number: | 9733274393 |
Fax Number: | 9733526578 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 01/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 016443 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |