Individual
NANCY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD DRPH
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Mailing address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
22029
CA
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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