Basic Information
| Provider Information | |||||||||
| NPI: | 1073726782 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARRAR-ANTON | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FARRAR | ||||||||
| OtherFirstName: | ANNE | ||||||||
| OtherMiddleName: | RANEE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PH.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 130 W PLEASANT AVE | ||||||||
| Address2: | #190 | ||||||||
| City: | MAYWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076071335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013157652 | ||||||||
| FaxNumber: | 2014873910 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 PROSPECT AVE | ||||||||
| Address2: | TOMORROWS CHILDRENS INSTITUTE | ||||||||
| City: | HACKENSACK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076011914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019965255 | ||||||||
| FaxNumber: | 2014877340 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 35SI00430600 | NJ | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling | 103TC1900X | 016115 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No ID Information.