Dr. Tara Fairbanks
Dr. Tara Fairbanks is a Student in an Organized Health Care Education/Training Program in Santa Monica, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
3301 Ocean Park Blvd Ste 210Santa Monica, CA 90405-3230
Phone: (323) 761-9591
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 — (818) 896-1161
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 32174 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1750781118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 3, 2014 |
| Last updated in NPPES | October 30, 2020 |
| Certification date | October 30, 2020 |
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