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Organization

NATHALIE DE FABRIQUE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHALIE DE FABRIQUE PSY.D. (CLINICAL PSYCHOLOGIST)
(954) 325-3454
Entity
Organization

Contact information

Practice address
1019 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411-5100
(954) 325-3454
Mailing address
2410 BELLAROSA CIR, ROYAL PALM BEACH, FL 33411-1469

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7421
FL

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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