Individual
JOHN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1315 S GLENBURNIE RD, STE. D-17, NEW BERN, NC 28562-2613
(252) 634-2855
(252) 634-2955
Mailing address
1315 S GLENBURNIE RD, STE. D-17, NEW BERN, NC 28562-2613
(252) 634-2855
(252) 634-2955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1191
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346E
BC
NC
01
—
194350
MEDCOST
NC
05
—
6000876
—
NC
Enumeration date
10/25/2006
Last updated
07/09/2007
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