Dr. Susan Farrell, Ph.D.
Psychologist, Clinical in Menlo Park, CA. Individual provider (NPI-1).
NPI number1053979252
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1053979252
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Farrell
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2019
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY14544 | CA | Yes |
Practice location
1220 University Dr Ste 204Menlo Park, CA 94025-4265
Phone 650-322-4549
Mailing address
1220 University Dr Ste 204Menlo Park, CA 94025-4265
Phone 650-322-4549
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