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Individual

DR. LEIGH ANN CARTER FAURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
221 N OLIVE ST, MEDIA, PA 19063-3250
(443) 470-5434
Mailing address
221 N OLIVE ST, MEDIA, PA 19063-3250

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
05459
MD
103T00000X
Psychologist
Primary
PS018761
PA

Other

Enumeration date
07/06/2016
Last updated
07/01/2019
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