Individual
TIMOTHY JAMES O'FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, VAMC - 116B1, BROCKTON, MA 02301-5596
(508) 583-4500
(774) 826-1087
Mailing address
940 BELMONT ST, VAMC - 116B1, BROCKTON, MA 02301-5596
(508) 583-4500
(774) 826-1087
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
1807
MA
Other
Enumeration date
10/11/2006
Last updated
07/31/2012
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