Provider Demographics
NPI:1568945392
Name:FARWELL, CATHERINE AMELIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:AMELIA
Last Name:FARWELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 N MOPAC EXPY STE 901
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8348
Mailing Address - Country:US
Mailing Address - Phone:512-710-8514
Mailing Address - Fax:
Practice Address - Street 1:8500 N MOPAC EXPY STE 901
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8348
Practice Address - Country:US
Practice Address - Phone:512-710-8514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37931103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical