Organization
FAIRMAN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CARTER FAIRMAN PSY.D. (LICENSED PSYCHOLOGIST)
(417) 437-3244
Entity
Organization
Contact information
Practice address
2722 S. MAIN ST., SUITE A, JOPLIN, MO 64804
(417) 437-3244
Mailing address
2722 S. MAIN ST., SUITE A, JOPLIN, MO 64804
(417) 437-3244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004033756
MO
Other
Enumeration date
08/01/2011
Last updated
02/01/2013
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