Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4748 | OH |
N | 103T00000X | Psychologist | 4748 | OH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4748 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4748 | OH |
Y | 103G00000X | Clinical Psychologist | 4748 | OH |
Y | 103TC0700X | Clinical Psychologist | 4748 | OH |
N | 103TF0000X | Family Psychologist | 4748 | OH |
N | 103TP2701X | Group Psychotherapist | 4748 | OH |
NPI | 1003848730 |
---|---|
Provider Name | Dr. Lynn Marie Farney |
First Address | Medway, OH 45341-1109 |
Second Address | Medway, OH 45341-1109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 15/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0954150 | (05) | OH |
SPO3492 | (02) | OH |