Provider Demographics
NPI:1255471264
Name:FARMER, JAMES HOWARD III (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOWARD
Last Name:FARMER
Suffix:III
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SWEETBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-9732
Mailing Address - Country:US
Mailing Address - Phone:530-228-0439
Mailing Address - Fax:
Practice Address - Street 1:20 SWEETBRIAR DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-9732
Practice Address - Country:US
Practice Address - Phone:530-228-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB31876103T00000X
CA487786163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant