| Nathalie De Fabrique, Pa | |
|
1019 N State Road 7 Royal Palm Beach FL 33411-5100 | |
| (954) 325-3454 | |
| Not Available |
| Full Name | Nathalie De Fabrique, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1019 N State Road 7, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Nathalie De Fabrique (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9543253454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathalie De Fabrique, Pa 2410 Bellarosa Cir Royal Palm Beach FL 33411-1469 Ph: () - | Nathalie De Fabrique, Pa 1019 N State Road 7 Royal Palm Beach FL 33411-5100 Ph: (954) 325-3454 |
| NPI Number | 1124379417 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 8729238605 |
|---|---|
| Medicare Enrollment ID | O20121031000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124379417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7421 (Florida) | Primary |
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