Lynn Marie Farney, PSY.D.
Individual provider Active NPI Clinical Psychologist · Medway, OH
NPI 1003848730 · NPPES record last updated Dec 15, 2015
Key facts
- NPI
- 1003848730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4748 (OH)
- Practice address
- 109 W Main St
Medway, OH 45341-1109 - Phone
- (937) 849-1600
- Fax
- (937) 849-1646
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4748 | OH | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4748 | OH | Yes |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4748 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4748 | OH | |
| Family Psychologist | 103TF0000X | 4748 | OH | |
| Group Psychotherapy Psychologist | 103TP2701X | 4748 | OH | |
| Psychologist | 103T00000X | 4748 | OH |
Addresses
Primary practice location
109 W Main St
Medway, OH 45341-1109
Mailing address
109 W Main St
Medway, OH 45341-1109
Phone (937) 849-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0954150 | Medicaid | OH |
Other providers in Medway, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.