Provider Demographics
NPI:1912252867
Name:FARRAR, PEGGY LOUISE (MED)
Entity Type:Individual
Prefix:MISS
First Name:PEGGY
Middle Name:LOUISE
Last Name:FARRAR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S ZINNIA CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1634
Mailing Address - Country:US
Mailing Address - Phone:303-514-6894
Mailing Address - Fax:
Practice Address - Street 1:32 S ZINNIA CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1634
Practice Address - Country:US
Practice Address - Phone:303-514-6894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor