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NPI Code Detail

MEDICARE: DEVAN FARRIS

MEDICARE:   DEVAN  FARRIS
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
1235Z00000XSpeech-Language PathologistCA

General Provider Information

NPI Number : 1740841667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVAN FARRIS
Provider Business Mailing Address
First Line : 1522 WINDERMERE CT
Second Line :
City : PALMDALE
State : CA
Zip : 93551-4055
Country : US
Telephone Number : 661-478-9682
Fax Number :
Provider Business Practice Location Address
First Line : 44711 CEDAR AVE
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3216
Country : US
Telephone Number : 661-948-4661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2019
Last Update Date : 05/05/2026

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Directions to “ DEVAN FARRIS ” Practice Location

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