THOMAS C FAIRBANK

LAYTON, UT
NPI1194709980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  109352-2501)
Enumeration Date2005-12-05
Last Update Date2007-10-18
Business Address
-- THOMAS C FAIRBANK PHD
2084 N 1700 W STE 6
LAYTON, UT 84041
Phone number: 801-773-7177
Mailing Address
-- THOMAS C FAIRBANK PHD
1767 N 2525 E
LAYTON, UT 84040
Phone number: 801-546-9515