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Individual

DR. MICHAEL T FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
375 GLENSPRINGS DR, SUITE 300, CINCINNATI, OH 45246-2316
(513) 825-6600
(513) 825-6696
Mailing address
375 GLENSPRINGS DR, SUITE 300, CINCINNATI, OH 45246-2316
(513) 825-6600
(513) 825-6696

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3719
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0629592
OH
Enumeration date
07/05/2006
Last updated
02/12/2014
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