Brian Peter Farley

Individual provider Active NPI Marriage & Family Therapist · Seaside, CA

NPI 1275948671 · NPPES record last updated Dec 28, 2016

Key facts

NPI
1275948671
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
89599 (CA)
Practice address
1187 Broadway Ave
Seaside, CA 93955
Phone
(831) 755-4510
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
89599CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 89599 CA Yes

Addresses

Primary practice location

1187 Broadway Ave
Seaside, CA 93955

Mailing address

845 Lighthouse Ave
Apartment 5
Pacific Grove, CA 93950-2531
Phone (909) 602-0889

Other providers in Seaside, CA

All providers in Seaside, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.