THOMAS FAIRBANK, PHD
Psychologist - Clinical
Active
Individual
NPI: 1194709980
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 109352-2501 (UT) |
Frequently Asked Questions
NPI 1194709980 is the National Provider Identifier for THOMAS FAIRBANK, PHD, a Psychologist - Clinical provider located in Layton, UT. This NPI was enumerated on December 5, 2005.
THOMAS FAIRBANK, PHD practices at 2084 N 1700 W STE 6, Layton, UT 84041.
Quick Facts
- NPI
- 1194709980
- Type
- Individual
- Enumerated
- Dec 5, 2005
- Last Updated
- Oct 18, 2007
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