Healthcare Provider Details

I. General information

NPI: 1588730550
Provider Name (Legal Business Name): JULIE MCPHERSON FARMER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7907 OSTROW ST SUITE F
SAN DIEGO CA
92111-3635
US

IV. Provider business mailing address

7907 OSTROW ST SUITE F
SAN DIEGO CA
92111-3635
US

V. Phone/Fax

Practice location:
  • Phone: 858-300-8282
  • Fax: 858-300-8284
Mailing address:
  • Phone: 858-300-8282
  • Fax: 858-300-8284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 40077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: