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General NPI Number Information
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NPI Number | 1164846796
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Entity Type | Individual
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Provider Name | DONNA FARRELL PH.D., LSSP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 03/08/2026
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Provider Practice Location Address
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Address Line | 46721 IH 10
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City | WINNIE
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State | TX
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Zip | 77665-8499
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Country | US
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Telephone | 409-296-8612
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Fax | 409-296-2548
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Provider Business Mailing Address
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Address Line | 46721 IH 10
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City | WINNIE
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State | TX
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Zip | 77665-8499
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Country | US
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Telephone | 409-296-8612
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Fax | 409-296-2548
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 6306 / 14885
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License Number State | TX
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