Individual
NATHALIE C DE FABRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2410 BELLAROSA CIR, ROYAL PALM BEACH, FL 33411-1469
(954) 325-3454
Mailing address
2410 BELLAROSA CIRCLE, ROYAL PALM BEACH, FL 33411-1473
(954) 325-3454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
71007208
IL
103TC0700X
Clinical Psychologist
Primary
PY7421
FL
Other
Enumeration date
02/19/2007
Last updated
02/04/2015
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