Jayne Fabry, Ptc Associates

NPI #1952597767 in Portage, Michigan

Provider Information

NPI Number: 1952597767
Entity Type: Organization
Organization Name: Jayne Fabry, Ptc Associates
Primary Specialty: Psychologist
Enumeration Date: Sep 15, 2007
Last Updated: Aug 12, 2008

Practice Location

Address: 1651 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-6312
Phone: (269) 552-9832

Authorized Official

Name: JAYNE FABRY, CLINICAL PSYCHOLOGIS
Title: OWNER
Phone: (269) 552-9832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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