Provider Demographics
NPI:1821350927
Name:FARNSWORTH, L. ANN (PHD)
Entity Type:Individual
Prefix:
First Name:L.
Middle Name:ANN
Last Name:FARNSWORTH
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 1:6262 N SWAN RD STE 160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3636
Mailing Address - Country:US
Mailing Address - Phone:520-955-4064
Mailing Address - Fax:
Practice Address - Street 1:6262 N SWAN RD STE 160
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3636
Practice Address - Country:US
Practice Address - Phone:520-955-4064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1255103T00000X
AZ4298103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist