Individual
DR. LAURA ANNE FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60956055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60956055
PENDING
WA
Enumeration date
07/23/2019
Last updated
07/23/2019
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