Provider Demographics
NPI:1073726782
Name:FARRAR-ANTON, ANNE R (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:R
Last Name:FARRAR-ANTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:RANEE
Other - Last Name:FARRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:130 W PLEASANT AVE
Mailing Address - Street 2:#190
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1335
Mailing Address - Country:US
Mailing Address - Phone:201-315-7652
Mailing Address - Fax:201-487-3910
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:TOMORROWS CHILDRENS INSTITUTE
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:201-996-5255
Practice Address - Fax:201-487-7340
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00430600103TC1900X
NY016115103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling