Individual provider · Type 1 NPI

Jack Lee Farmer Jr., PhD

Clinical Psychologist · San Diego, CA

NPI number 1972671899 Active

Practice location

1202 Morena Blvd, Suite 300
San Diego, CA 92110-3841

Fax (619) 275-1422

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X16037 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1972671899

Jack Lee Farmer Jr., PhD's National Provider Identifier is 1972671899, issued on Nov 30, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.