MRS. DESRIE DAWN FARLEY


Address: 508 East Main, West Frankfort, IL 62896
Phone: 6189326079

MRS. DESRIE DAWN FARLEY (NPI# 1417468406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417468406
Entity Type Individual
Full Name MRS. DESRIE DAWN FARLEY
Credential M.A.E.D., ED.S.
Practice Address 508 East Main
West Frankfort
IL 62896
Mailing Address 900 North Cherry Street
West Frankfort
IL 62896
Practice Telephone 6189326079
Practice Fax Number 6189326836
Mailing Telephone 6189372421
Mailing Fax Number 6189322025
Enumeration Date 2017-10-17
Last Update Date 2017-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
2543888 IL Behavioral Health & Social Service Providers

Office Location

Street Address 508 EAST MAIN
City WEST FRANKFORT
State IL
Zip Code 62896

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205346657 Erin Hutchinson Speech-Language Pathologist 1401 W Sixth St, West Frankfort, IL 62896 2017-10-11
1326499740 Casey Huff Counselor 202 South Bentley St, Marion, IL 62896 2016-06-27
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1497907737 Angela H Henson Physician Assistant 310 West St. Louis Street, West Frankfort, IL 62896 2008-10-17
1881884187 Homestead House Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 905 North Jefferson, West Frankfort, IL 62896 2007-08-01
1528266608 Christopher Greater Area Rural Health Planning Corp Family Medicine 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 2007-07-10
1437212016 National Assistance Bureau, Inc. Skilled Nursing Facility Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 2006-12-18
1922176171 Sebastian John Pagano Dentist 208 North Ida, West Frankfort, IL 62896 2006-12-04
1023123346 Logan Primary Care Service Corp. Clinic/Center 502 W St Louis, West Frankfort, IL 62896 2006-08-19
1326152356 Christopher S Shadowens Physician Assistant 502 St Louis Street, West Frankfort, IL 62896 2006-08-18
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629679428 Jessica Scharf Psychologist 8502 Bailey Rd # 63, Darien, IL 60561-5333 2020-11-06
1225637283 Nicole Maggard Psychologist 137 Somerset Rd, Willowbrook, IL 60527-5470 2020-10-21
1033724232 Shadequia Davis Psychologist 402 Richards St, Joliet, IL 60433-2218 2020-09-14
1043823123 Lindsay Ann Franklin Psychologist 436 Coral Dr, Morton, IL 61550-8505 2020-08-28
1053923995 Annie Biehl Psychologist 9750 Soreng Ave, Schiller Park, IL 60176-2105 2020-08-21
1811508989 Caroline Cook Psychologist 246 S Fair Ave, Elmhurst, IL 60126-3600 2020-08-12
1760009955 Tammy Carroll Psychologist 3801 Lake Ct, Trenton, IL 62293-2938 2020-07-03
1316568629 Denisa Kerekes Psychologist 1536 Cedarwood Ct, Gurnee, IL 60031-6346 2020-04-28
1740801174 Jessica Berlinghof Psychologist 220 Greenwood Dr, Round Lake Park, IL 60073-3444 2020-04-27
1861038200 Ease of Mind Pllc Psychologist 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 2019-11-20
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Competitor

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City WEST FRANKFORT
Zip Code 62896

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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