Individual
KAREN SIMMONS-FABER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1147 INDEPENDENCE BLVD, FAMILY MEDICAL PRACTITIONERS, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2136
Mailing address
1147 INDEPENDENCE BLVD, FAMILY MEDICAL PRACTITIONERS, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2136
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810002112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002112
LIC
VA
Enumeration date
07/28/2005
Last updated
07/08/2007
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