Provider Demographics
NPI:1437646189
Name:FARBER, MAX (PSYD)
Entity type:Individual
Prefix:DR
First Name:MAX
Middle Name:
Last Name:FARBER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 920
Mailing Address - Street 2:
Mailing Address - City:ROSS
Mailing Address - State:CA
Mailing Address - Zip Code:94957-0920
Mailing Address - Country:US
Mailing Address - Phone:425-290-8920
Mailing Address - Fax:
Practice Address - Street 1:369 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:CA
Practice Address - Zip Code:94930-2111
Practice Address - Country:US
Practice Address - Phone:415-290-8920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist