Provider Demographics
NPI:1700933306
Name:FARNSWORTH, DEBORAH L (MA, MFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:FARNSWORTH
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:DOUGLAS-FARNSWORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1151 DOVE ST #278
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-257-7178
Mailing Address - Fax:
Practice Address - Street 1:1151 DOVE ST #278
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-257-7178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34750106H00000X
CAMFC37450106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist