Organization
DR. PATRICIA FARLEY, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA FARLEY PHD (PSYCHOLOGIST/OWNER)
(770) 298-1000
Entity
Organization
Contact information
Practice address
1770 INDIAN TRAIL RD, SUITE 200, NORCROSS, GA 30093-2645
(727) 560-8400
(678) 287-8501
Mailing address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(770) 298-1000
(866) 298-1001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00872429C
—
GA
05
—
00872429D
—
GA
01
—
D2797AAD9D
TRICARE
FL
Enumeration date
03/28/2007
Last updated
11/30/2017
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