Amber Lee Fasula is a Clinical in Maitland, Florida. Amber Lee Fasula practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amber Lee Fasula is 1730364472. The last update date is 2021-03-31.
Amber Lee Fasula's current location address is 253 N Orlando Ave Ste 202, Maitland, Florida. You can contact this provider via phone number 4077904101 and fax number 4072774400. The mailing address for Amber Lee Fasula is 253 N Orlando Ave Ste 202, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amber Lee Fasula |
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Address | 253 N Orlando Ave Ste 202, Maitland, Florida |
Phone Number | 4077904101 |
Fax Number | 4072774400 |
Sole Proprietor | N |
Credentials | PSY.D., BC |
NPI Number Detail
NPI Number | 1730364472 |
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Provider Enumeration Date | 2007-12-31 |
Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
Address | 253 N Orlando Ave Ste 202 |
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City | Maitland |
State | Florida (FL) |
Post Code | 327515521 |
Phone Number | 4077904101 |
Fax Number | 4072774400 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PY9333 |
Definition: 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 |
Post Comment/ Review Below
What is the Amber Lee Fasula's 1730364472?
The Amber Lee Fasula's NPI (National Provider Identifier) Number is 1730364472. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amber Lee Fasula?
The Amber Lee Fasula is physically situated at 253 N Orlando Ave Ste 202, in the city of Maitland, state of FL, with the postal code 327515521.
What is Amber Lee Fasula's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amber Lee Fasula's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Amber Lee Fasula receive its 1730364472 assignment from the Centers for Medicare & Medicaid Services?
The Amber Lee Fasula was assigned its 1730364472 by the Centers for Medicare & Medicaid Services on 2007-12-31.
As of what date was the information pertaining to Amber Lee Fasula, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amber Lee Fasula, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-31.