Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Fairall and Associates Behavioral Health and Family Mediation Servi

Organization Psychologist · NPI 1083088165

Dr Fairall and Associates Behavioral Health and Family Mediation Servi is a Psychologist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

4400 Marsh Landing Blvd Ste 1
Ponte Vedra Beach, FL 32082-7215
Phone: (904) 463-2284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY 7675 (FL)

Record details

NPI number1083088165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Fairall — Owner · (904) 463-2284
NPI enumeratedNovember 30, 2015
Last updated in NPPESNovember 30, 2015
Mailing address117 Old Mill Ct, Ponte Vedra Beach, FL 32082-4133

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