Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 016115 | NY |
Y | 103TC1900X | Counseling Psychologist | 35SI00430600 | NJ |
NPI | 1073726782 |
---|---|
Provider Name | Dr. Anne R Farrar-Anton |
First Address | Maywood, NJ 07607-1335 |
Second Address | Hackensack, NJ 07601-1914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 08/07/2007 |