Individual
JAN FAERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
6457 REFLECTIONS DR STE 120, DUBLIN, OH 43017-2352
(614) 792-1108
(614) 792-0018
Mailing address
6457 REFLECTIONS DR STE 120, DUBLIN, OH 43017-2352
(614) 792-1108
(614) 792-0018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968538
—
OH
05
—
CP15127
—
OH
Enumeration date
08/10/2006
Last updated
06/07/2022
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