Individual
DR. RUSSELL A FAIRLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1160 LIMEKILN PK., BOX 303, HORSHAM, PA 19044-0303
(215) 646-4282
Mailing address
1160 LIMEKILN PIKE, BOX 303, HORSHAM, PA 19044-0303
(215) 646-4282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-003279-L
PA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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