Joel K Fairbanks in Pensacola - Psychologist

Joel K Fairbanks - NPI 1992883417

Joel K Fairbanks is a Psychologist in Pensacola, Florida. Joel K Fairbanks practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joel K Fairbanks is 1992883417. The last update date is 2015-12-02.

Joel K Fairbanks's current location address is Po Box 18487, Pensacola, Florida. You can contact this provider via phone number 8504781312 and fax number 8504749060. The mailing address for Joel K Fairbanks is Po Box 18487, Pensacola, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel K Fairbanks
Address Po Box 18487, Pensacola, Florida
Phone Number 8504781312
Fax Number 8504749060
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1992883417
Provider Enumeration Date 2006-11-01
Last Updated Date 2015-12-02

Provider Mailing Address Detail

Address Po Box 18487
City Pensacola
State Florida (FL)
Post Code 325238487
Phone Number 8504781312
Fax Number 8504749060

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY0004557
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
104720 FL VALUE OPTIONS
73807 FL BLUE CROSS BLUE SHIELD

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FAQs about Joel K Fairbanks

What is the Joel K Fairbanks's 1992883417?

The Joel K Fairbanks's NPI (National Provider Identifier) Number is 1992883417. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Joel K Fairbanks is geographically located?

The Joel K Fairbanks is physically situated at the following location: Po Box 18487, Pensacola, FL, 325238487.

What is Joel K Fairbanks's area of expertise and its corresponding taxonomy classification?

The Joel K Fairbanks's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1992883417 to Joel K Fairbanks?

The Centers for Medicare & Medicaid Services assigned the 1992883417 to Joel K Fairbanks on 2006-11-01.

As of what date were the details pertaining to Joel K Fairbanks last refreshed?

The information related to the Joel K Fairbanks, including its address, specialty, and other relevant details, was last updated on 2015-12-02.

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