Provider Demographics
NPI:1912494584
Name:CURRY FARROW, XAVIER (PSYCHOLOGIST, PSYD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:
Last Name:CURRY FARROW
Suffix:
Gender:F
Credentials:PSYCHOLOGIST, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 STAFFORD AVE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7246
Mailing Address - Country:US
Mailing Address - Phone:540-658-6115
Mailing Address - Fax:
Practice Address - Street 1:550 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-6823
Practice Address - Country:US
Practice Address - Phone:540-658-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0813000281103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0813000281Medicaid