Provider Demographics
NPI:1366545287
Name:FARRIS, ROBIN E (MS, PLPC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:E
Last Name:FARRIS
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 S. COX RD.
Mailing Address - Street 2:APT 2707
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807
Mailing Address - Country:US
Mailing Address - Phone:417-234-5738
Mailing Address - Fax:
Practice Address - Street 1:1531 E SUNSHINE ST
Practice Address - Street 2:SUITE W29
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1213
Practice Address - Country:US
Practice Address - Phone:417-887-9950
Practice Address - Fax:417-888-0226
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005026019101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor