Individual
DR. JEROME FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
255 S 17TH ST STE 2121, PHILADELPHIA, PA 19103-6211
(267) 253-8422
Mailing address
255 S 17TH ST STE 2121, PHILADELPHIA, PA 19103-6211
(267) 253-8422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
020263-1
NY
103T00000X
Psychologist
Primary
PS018121
PA
Other
Enumeration date
10/17/2013
Last updated
10/19/2023
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