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Individual

DR. DYLAN TYLER FAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY D

Contact information

Practice address
26001 REDLANDS BLVD, LOMA LINDA, CA 92373-7762
(909) 825-7084
Mailing address
26001 REDLANDS BLVD, LOMA LINDA, CA 92373-7762
(909) 825-7084

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
112806
IA

Other

Enumeration date
09/21/2022
Last updated
04/04/2025
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