| NPI | 1649846874 |
|---|---|
| Doing Business As | DR. COLLEEN M. FAIRBANKS, LLC |
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE FAIRBANKS Licensed Clinical Psychologist 630-903-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |