| NPI | 1922474907 |
|---|---|
| Doing Business As | AMBER FASULA, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | AMBER L FASULA Owner 407-790-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9333) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-04-24 |