Individual
DR. JAN L FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-5713
Mailing address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-5713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0004379
FL
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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