| Fcc Associates | |
|
780 Nilles Rd Ste F1 Fairfield OH 45014-3644 | |
| (513) 858-3777 | |
| (513) 858-3000 |
| Full Name | Fcc Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 780 Nilles Rd Ste F1, Fairfield, Ohio |
| Authorized Official Name and Position | David Drake (OWNER) |
| Authorized Official Contact | 5138583777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcc Associates Po Box 635219 Cincinnati OH 45263-5219 Ph: (513) 858-3777 | Fcc Associates 780 Nilles Rd Ste F1 Fairfield OH 45014-3644 Ph: (513) 858-3777 |
| NPI Number | 1134457542 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134457542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4862 (Ohio) | Primary |
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