Individual
LYNETTE VIRGINIA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
240 CORPORATE CENTER DR, SUITE D, STOCKBRIDGE, GA 30281-7214
(770) 507-4124
(770) 507-4124
Mailing address
240 CORPORATE CENTER DR, SUITE D, STOCKBRIDGE, GA 30281-7214
(770) 507-4124
(770) 507-4124
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
MFT000296
GA
103TB0200X
Cognitive & Behavioral Psychologist
MFT000296
GA
103TC1900X
Counseling Psychologist
MFT000296
GA
106H00000X
Marriage & Family Therapist
MFT000296
GA
Other
Enumeration date
02/07/2007
Last updated
06/12/2008
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