Provider Demographics
NPI:1972870434
Name:FARBIARZ, LYNN FAITH (SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:FAITH
Last Name:FARBIARZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 W POND CT
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5219
Mailing Address - Country:US
Mailing Address - Phone:631-730-4300
Mailing Address - Fax:
Practice Address - Street 1:9 W POND CT
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5219
Practice Address - Country:US
Practice Address - Phone:631-730-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist