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Contact Information

FAIRMAN PSYCHOLOGICAL SERVICES LLC
2722 S. MAIN ST.
SUITE A
JOPLIN, MO64804
 Phone: 417-437-3244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FAIRMAN PSYCHOLOGICAL SERVICES LLC

NPI Number 1376821892
LBN Legal business name FAIRMAN PSYCHOLOGICAL SERVICES LLC
Authorized official JASON FAIRMAN - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2011
Last updated 02/01/2013 - About 13 years ago
Identifiers
MO License # 2004033756
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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