| Joy Marie Fairbanks, PHD | |
|
7770 Dell Rd Ste 120, Chanhassen, MN 55317-9316 | |
| (952) 955-4714 | |
| (952) 955-6213 |
| Full Name | Joy Marie Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 7770 Dell Rd Ste 120, Chanhassen, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295970259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP5302 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Marie Fairbanks, PHD 7770 Dell Rd Ste 120, Chanhassen, MN 55317-9316 Ph: (952) 955-4714 | Joy Marie Fairbanks, PHD 7770 Dell Rd Ste 120, Chanhassen, MN 55317-9316 Ph: (952) 955-4714 |
Katherine Stratton Posch, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 470 W 78th St Ste 220, Chanhassen, MN 55317 Phone: 612-234-7517 | |
Richard Colund, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7945 Stone Creek Dr, Suite 140, Chanhassen, MN 55317 Phone: 952-974-3999 Fax: 952-974-3870 | |
Mrs. Sheri Hinrichs, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 W. 78th St. #220, Chanhassen, MN 55317 Phone: 651-300-9254 Fax: 855-282-2996 | |
Dr. Gary Joseph Freitas, PH.D., LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7945 Stone Creek Dr, Suite 140, Chanhassen, MN 55317 Phone: 952-974-3999 Fax: 952-974-3780 | |
Gail Mckechnie Oakes, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7945 Stone Creek Dr, Suite 140, Chanhassen, MN 55317 Phone: 952-974-3999 Fax: 952-974-3780 | |
Dr. Harold Baumchen, PSY. D, L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7945 Stone Creek Dr, Suite 140, Chanhassen, MN 55317 Phone: 952-974-3999 |