Provider Demographics
NPI:1871009332
Name:FARROW PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:FARROW PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:FARROW PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-480-1484
Mailing Address - Street 1:9330 CARMEL MOUNTAIN RD STE F
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2160
Mailing Address - Country:US
Mailing Address - Phone:858-480-1484
Mailing Address - Fax:858-780-9953
Practice Address - Street 1:9330 CARMEL MOUNTAIN RD STE F
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2160
Practice Address - Country:US
Practice Address - Phone:858-480-1484
Practice Address - Fax:858-780-9953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health