Individual
JOY MARIE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7770 DELL RD STE 120, CHANHASSEN, MN 55317-9316
(952) 955-4714
(952) 955-6213
Mailing address
7770 DELL RD STE 120, CHANHASSEN, MN 55317-9316
(952) 955-4714
(952) 955-6213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5302
MN
Other
Enumeration date
12/04/2008
Last updated
10/01/2025
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