Individual
JOHN ALBERT FAIRBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
905 W MAIN ST, SUITE 24-E, DURHAM, NC 27701-2054
(919) 682-1552
(919) 667-9578
Mailing address
905 W MAIN ST, SUITE 24-E, DURHAM, NC 27701-2054
(919) 682-1552
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1398
NC
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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