| Doctor Name: | DR. PATRICIA FARLEY |
| NPI Number: | 1639267453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 002417 |
| Business Practice Address: | 23 Rd Medical Group 3278 Mitchell Blvd. Moody Afb, GA - 316990001 |
| Business Phone Number: | 2292572890 |
| Business Fax Number: | |
| Mailing Address: | 23rd Medical Group, 3278 Mitchell Blvd. MOODY AFB |
| State: | GA |
| Postal Code: | 31699 |
| Phone Number: | 2292572890 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 002417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |