Provider Demographics
NPI:1407970833
Name:DOROTHY M. FARRAND INC.
Entity Type:Organization
Organization Name:DOROTHY M. FARRAND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FARRAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-313-2350
Mailing Address - Street 1:205 S 4TH ST
Mailing Address - Street 2:SUITE C5
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6166
Mailing Address - Country:US
Mailing Address - Phone:785-313-2350
Mailing Address - Fax:
Practice Address - Street 1:205 S 4TH ST
Practice Address - Street 2:SUITE C5
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6166
Practice Address - Country:US
Practice Address - Phone:785-313-2350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOROTHY M. FARRAND INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS776103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS118213OtherBLUE CROSS
KS118213Medicare PIN