NPI | 1518901974 |
---|---|
Other Name | BEVERLY FAIRCHILD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 11375) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2007-07-08 |