Healthcare Provider Details

I. General information

NPI: 1073014502
Provider Name (Legal Business Name): CAYCE LYNN FARINA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 02/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N WAYNE AVE STE 300
WAYNE PA
19087-3542
US

IV. Provider business mailing address

121 N WAYNE AVE STE 300
WAYNE PA
19087-3542
US

V. Phone/Fax

Practice location:
  • Phone: 484-206-7975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC010269
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: