Individual
BRUCE FARWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 739-5142
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13583
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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