| 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 |