Provider Demographics
NPI:1841349578
Name:FARRINGTON, GORDON NORMAN (MA, PHD)
Entity type:Individual
Prefix:DR
First Name:GORDON
Middle Name:NORMAN
Last Name:FARRINGTON
Suffix:
Gender:M
Credentials:MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27758 SANTA MARGARITA PKWY
Mailing Address - Street 2:PMB 259
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6709
Mailing Address - Country:US
Mailing Address - Phone:949-770-0302
Mailing Address - Fax:949-770-0302
Practice Address - Street 1:2102 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 135
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1001
Practice Address - Country:US
Practice Address - Phone:949-770-0302
Practice Address - Fax:949-770-0302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12023103T00000X
CAMFT9251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist