Individual
DANA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7 RIVER ST, COLLINSVILLE, CT 06019-3156
(860) 841-8414
Mailing address
4 SILHOUETTE DR, COLEBROOK, CT 06021-1123
(203) 464-3332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
003857
CT
103TC0700X
Clinical Psychologist
Primary
003857
CT
Other
Enumeration date
07/04/2016
Last updated
09/23/2019
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