Organization
FCC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DRAKE PHD (OWNER)
(513) 858-3777
Entity
Organization
Contact information
Practice address
780 NILLES RD STE F1, FAIRFIELD, OH 45014-3644
(513) 858-3777
(513) 858-3000
Mailing address
PO BOX 635219, CINCINNATI, OH 45263-5219
(513) 858-3777
(513) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4862
OH
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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