Individual
DR. CANDACE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1342 N HAYWORTH AVE APT 201, W HOLLYWOOD, CA 90046-4692
(323) 896-2600
Mailing address
1342 N HAYWORTH AVE APT 201, W HOLLYWOOD, CA 90046-4692
(323) 896-2600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY30573
PSYCHOLOGIST LICENSE
CA
Enumeration date
12/26/2018
Last updated
12/26/2018
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