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Individual

DR. PAUL LAVERE FAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3580 PIEDMONT ROAD, SUITE 220, ATLANTA, GA 30305-1506
(404) 233-7439
Mailing address
3580 PIEDMONT ROAD, SUITE 220, ATLANTA, GA 30305-1506
(404) 233-7439

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1055
GA
103TC0700X
Clinical Psychologist
Primary
1055
GA

Other

Enumeration date
05/03/2007
Last updated
09/11/2025
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