Individual
DR. THOMAS CARL FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S.
Contact information
Practice address
10641 HILLARY CT, SUITE 1, BATON ROUGE, LA 70810-2842
(225) 387-3325
(225) 387-0140
Mailing address
10641 HILLARY CT, SUITE 1, BATON ROUGE, LA 70810-2842
(225) 387-3325
(225) 387-0140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2-1983-2
TX
103TC0700X
Clinical Psychologist
367
LA
103TC0700X
Clinical Psychologist
PYR0261
MO
103TP0016X
Prescribing (Medical) Psychologist
Primary
367
LA
Other
Enumeration date
06/08/2006
Last updated
01/17/2022
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