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Individual

DR. L. SCOTT FAIRCHILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY. D.

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
07/22/2011
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