Provider Demographics
NPI:1346205119
Name:FARRAR-HERSCH, JULIE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:FARRAR-HERSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MEDICAL CENTER CIR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2273
Mailing Address - Country:US
Mailing Address - Phone:540-332-5790
Mailing Address - Fax:540-332-5792
Practice Address - Street 1:70 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 204
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-332-5790
Practice Address - Fax:540-332-5792
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
082051000OtherSOUTHERN HEALTH
086690OtherANTHEM
VA9450190Medicaid
082051000OtherSOUTHERN HEALTH
VA9450190Medicaid