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NPI Code Detail

MEDICARE: MR. MOSES AMADEUS FARROW LMFT

MEDICARE: MR. MOSES AMADEUS FARROW LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist001200CT

General Provider Information

NPI Number : 1538375399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOSES AMADEUS FARROW LMFT
Provider Business Mailing Address
First Line : 3013 DIXWELL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3527
Country : US
Telephone Number : 858-412-7381
Fax Number :
Provider Business Practice Location Address
First Line : 3013 DIXWELL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3527
Country : US
Telephone Number : 858-412-7381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 12/05/2022

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