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General NPI Number Information
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NPI Number | 1073180519
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Entity Type | Organization
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Legal Business Name | FARWELL PSYCHOLOGY
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8500 N MOPAC EXPY STE 901
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City | AUSTIN
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State | TX
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Zip | 78759-8348
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Country | US
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Telephone | 512-710-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 2870 PEACHTREE RD NW # 915-3847
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City | ATLANTA
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State | GA
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Zip | 30305-2918
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CATHERINE AMELIA FARWELL
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Credential | PSY.D.
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Telephone | 512-710-8514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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