MR. JERRY FATICA, LPA

Psychologist

Active Individual
NPI: 1598741035

Practice Address

1703 COUNTRY CLUB ROAD
SUITE 204
Jacksonville, NC 28546

Phone: (910) 347-3010

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes 1096 (NC)

Frequently Asked Questions

NPI 1598741035 is the National Provider Identifier for MR. JERRY FATICA, LPA, a Psychologist provider located in Jacksonville, NC. This NPI was enumerated on December 16, 2005.
MR. JERRY FATICA, LPA practices at 1703 COUNTRY CLUB ROAD, SUITE 204, Jacksonville, NC 28546.

Quick Facts

NPI
1598741035
Type
Individual
Enumerated
Dec 16, 2005
Last Updated
May 8, 2008

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