Stephen Dillon Fabick in Birmingham - Clinical
Stephen Dillon Fabick - NPI 1366431587
Stephen Dillon Fabick is a Clinical in Birmingham, Michigan. Stephen Dillon Fabick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Dillon Fabick is 1366431587. The last update date is 2007-07-08.
Stephen Dillon Fabick's current location address is 640 N Old Woodward Ave, Birmingham, Michigan. You can contact this provider via phone number 2482589288 and fax number 2482585187. The mailing address for Stephen Dillon Fabick is 640 N Old Woodward Ave, Birmingham, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Dillon Fabick |
|---|---|
| Address | 640 N Old Woodward Ave, Birmingham, Michigan |
| Phone Number | 2482589288 |
| Fax Number | 2482585187 |
| Sole Proprietor | X |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1366431587 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 640 N Old Woodward Ave |
|---|---|
| City | Birmingham |
| State | Michigan (MI) |
| Post Code | 480093881 |
| Phone Number | 2482589288 |
| Fax Number | 2482585187 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301002475 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99127 | MI | MANAGED HEALTH NETWORK | |
| 0 F3 4657 | MI | BCBS OF MICHIGAN | |
| 1011251 | MI | MHN (VENDOR #) | |
| 56941 | MI | CIGNA BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephen Dillon Fabick by the Centers for Medicare & Medicaid Services?
The Stephen Dillon Fabick has been issued the NPI (National Provider Identifier) 1366431587 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stephen Dillon Fabick is located?
The Stephen Dillon Fabick is situated at the following address: 640 N Old Woodward Ave, Birmingham, MI, 480093881.
What is the Stephen Dillon Fabick's specialty and taxonomy code?
The Stephen Dillon Fabick's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Stephen Dillon Fabick receive its 1366431587?
The Stephen Dillon Fabick was issued its 1366431587 on 2005-10-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Stephen Dillon Fabick most recently updated or refreshed?
The details pertaining to the Stephen Dillon Fabick, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY