Individual
AMY FARROKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 CAMINO REAL STE 201, BOCA RATON, FL 33433-5510
(561) 245-7025
Mailing address
623 BRITTANY DR, WAYNE, NJ 07470-3257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PPY346
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/26/2018
Last updated
12/12/2022
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