Individual
MR. STEPHEN EDWARD FATZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
299 OLD FELLOWSHIP RD, SWANNANOA, NC 28778-2709
(828) 299-0299
(828) 299-0299
Mailing address
299 OLD FELLOWSHIP RD, SWANNANOA, NC 28778-2709
(828) 299-0299
(828) 299-0299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588
LPA LICENSE NUMBER
NC
05
—
6107233
—
NC
Enumeration date
03/11/2007
Last updated
07/09/2007
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