Laurie S. Fairall-Rueter in Ponte Vedra Beach - Psychologist

Laurie S. Fairall-Rueter - NPI 1487768248

Laurie S. Fairall-Rueter is a Psychologist in Ponte Vedra Beach, Florida. Laurie S. Fairall-Rueter practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Laurie S. Fairall-Rueter is 1487768248. The last update date is 2019-07-18.

Laurie S. Fairall-Rueter's current location address is 4400 Marsh Landing Blvd, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9044632284 and fax number 9045437755. The mailing address for Laurie S. Fairall-Rueter is 4400 Marsh Landing Blvd, Ponte Vedra Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie S. Fairall-Rueter
Address 4400 Marsh Landing Blvd, Ponte Vedra Beach, Florida
Phone Number 9044632284
Fax Number 9045437755
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1487768248
Provider Enumeration Date 2006-08-18
Last Updated Date 2019-07-18

Provider Mailing Address Detail

Address 4400 Marsh Landing Blvd
City Ponte Vedra Beach
State Florida (FL)
Post Code 320821287
Phone Number 9044632284
Fax Number 9045437755

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY003739
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

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FAQs about Laurie S. Fairall-Rueter

What is the unique 10-digit identifier code issued to Laurie S. Fairall-Rueter by the Centers for Medicare & Medicaid Services?

The Laurie S. Fairall-Rueter has been assigned the NPI (National Provider Identifier) 1487768248 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Laurie S. Fairall-Rueter?

The Laurie S. Fairall-Rueter is situated at 4400 Marsh Landing Blvd, in the city of Ponte Vedra Beach, state of FL, with the zip code 320821287.

What is Laurie S. Fairall-Rueter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Laurie S. Fairall-Rueter's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.

On what date did the Laurie S. Fairall-Rueter receive the assignment of its 1487768248 from the Centers for Medicare & Medicaid Services?

The Laurie S. Fairall-Rueter was issued its 1487768248 by the Centers for Medicare & Medicaid Services on 2006-08-18.

As of what date were the details related to Laurie S. Fairall-Rueter most recently updated or revised?

The information pertaining to Laurie S. Fairall-Rueter, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-18.

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