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Organization

BAYTREE BEHAVIORAL HEALTH PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. L. SCOTT FAIRCHILD PSY. D. (PRESIDENT)
(321) 253-8887
Entity
Organization

Contact information

Practice address
1370 BEDFORD DR, SUITE 106, MELBOURNE, FL 32940-1993
(321) 253-8887
(321) 253-8878
Mailing address
1370 BEDFORD DR, SUITE 106, MELBOURNE, FL 32940-1993
(321) 253-8887
(321) 253-8878

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 6051
FL

Other

Enumeration date
01/17/2007
Last updated
12/13/2012
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