Fairman Psychological Services LLC

NPI #1376821892 in Joplin, Missouri

Provider Information

NPI Number: 1376821892
Entity Type: Organization
Organization Name: Fairman Psychological Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 1, 2011
Last Updated: Feb 1, 2013

Practice Location

Address: 2722 S. MAIN ST.
Address 2: SUITE A
City: Joplin
State: Missouri
ZIP Code: 64804
Phone: (417) 437-3244

Authorized Official

Name: DR. JASON CARTER FAIRMAN, PSY.D.
Title: LICENSED PSYCHOLOGIST
Phone: (417) 437-3244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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