National Provider Identifier Database

THOMAS C FAIRBANK, PHD – NPI #1194709980
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

THOMAS C FAIRBANK, PHD
2084 N 1700 W STE 6
LAYTON, UT84041
Phone: 801-773-7177
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for THOMAS C FAIRBANK

NPI Number 1194709980
Credentials PHD
Entity Individual
Enumeration date 12/05/2005
Last updated 10/18/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 109352-2501
  • UT Medicaid: 870465986000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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