Organization
NATALYA FATEYEVA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALYA FATEYEVA LMFT (DIRECTOR)
(954) 707-8520
Entity
Organization
Contact information
Practice address
7450 GRIFFIN RD STE 250, DAVIE, FL 33314-4104
(954) 707-8520
Mailing address
2159 NW 76THTERRACE, PEMBROKE, FL 33024
(954) 707-8520
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2774
FL
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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