Thomas C Fairbank, PHD

NPI #1194709980 in Layton, Utah

Provider Information

NPI Number
1194709980
Entity Type
Individual
Name
Thomas C Fairbank, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Dec 5, 2005
Last Updated
Oct 18, 2007

Practice Location

Address
2084 N 1700 W STE 6
City
Layton
State
Utah
ZIP Code
84041
Phone
(801) 773-7177

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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