Provider Demographics
NPI:1689197758
Name:FARNELL, TORRY LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:TORRY
Middle Name:LYNN
Last Name:FARNELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 N CORSICA DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6168
Mailing Address - Country:US
Mailing Address - Phone:479-358-7819
Mailing Address - Fax:
Practice Address - Street 1:1516 N CORSICA DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-6168
Practice Address - Country:US
Practice Address - Phone:479-358-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR200445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist