Provider Demographics
NPI:1447219266
Name:FARRAND INC, DOROTHY M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:M
Last Name:FARRAND INC
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 1:205 S 4TH ST
Mailing Address - Street 2:SUITE C5
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6168
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:66502-6168
Practice Address - Country:US
Practice Address - Phone:785-313-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS776103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS119873OtherBLUE CROSS
NY7346272OtherGHI OF NEW YORK
NY7346272OtherGHI OF NEW YORK