Dr Fairall And Associates Behavioral Health And Family Mediation Servi

  • 1083088165 NPI Number
  • |
  • Actived: 4 years ago
  • |
According to our database, NPI number for Dr Fairall And Associates Behavioral Health And Family Mediation Servi is 1083088165 and actived since Monday, November 30 2015. Dr Fairall And Associates Behavioral Health And Family Mediation Servi is an Organization provider specializes in Psychologist. Provider information was last updated on 11/30/2015.

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Overview of Dr Fairall And Associates Behavioral Health And Family Mediation Servi

  • NPI number: 1811534621
  • Provider type: Organization
  • Specialty: Psychologist
  • Active since: 11/30/2015
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: PY 7675
  • License State: FL

Provider Mailing Address

  • Address: 117 Old Mill Ct
    Ponte Vedra Beach, FL 32082
  • Phone: 904-463-2284
  • Fax:

Provider Practice Location

  • Address: 4400 Marsh Landing Blvd
    Suite 1
    Ponte Vedra Beach, FL 32082
  • Phone: 904-463-2284
  • Fax:

Authorized Official

  • Name: DR. Laurie Fairall PSY.D.
  • Position/Title: Owner
  • Telephone Number: 904-463-2284

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: PY 7675
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 264222586
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: OTHER EIN

Question & Answers

What is the npi number?

  • Q: What is the npi number for Dr Fairall And Associates Behavioral Health And Family Mediation Servi?
  • A: The npi number for Dr Fairall And Associates Behavioral Health And Family Mediation Servi is 1083088165.
  • Q: What are Dr Fairall And Associates Behavioral Health And Family Mediation Servi's specialties?
  • A: Dr Fairall And Associates Behavioral Health And Family Mediation Servi's specialties are Psychologist and different specialities.
  • Q: Where is Dr Fairall And Associates Behavioral Health And Family Mediation Servi business practice location?
  • A: Dr Fairall And Associates Behavioral Health And Family Mediation Servi business practice location is 4400 Marsh Landing Blvd, Ponte Vedra Beach, FL 32082.
  • Q: How to contact Dr Fairall And Associates Behavioral Health And Family Mediation Servi?
  • A: You can contact Dr Fairall And Associates Behavioral Health And Family Mediation Servi via 904-463-2284.
  • Q: What is the authorized official for Dr Fairall And Associates Behavioral Health And Family Mediation Servi?
  • A: The authorized office name is DR. Laurie Fairall PSY.D. with position/title is Owner and you can reach the authorized official via phone number 9044632284.