Provider Demographics
NPI:1174662183
Name:FARRELL, DAVID D (CPRP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:FARRELL
Suffix:
Gender:M
Credentials:CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 W. 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2098
Mailing Address - Country:US
Mailing Address - Phone:610-497-7646
Mailing Address - Fax:
Practice Address - Street 1:2600 W. 9TH STREET
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2098
Practice Address - Country:US
Practice Address - Phone:610-497-7646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health