SearchFloridaClinical Psychologist

Amber Fasula, PSY.D., BCN

NPI 1730364472 · on the registry since 2007

Practice

Address
253 N Orlando Ave Ste 202
Maitland, FL 32751
Phone
(407) 790-4101
Fax
(407) 277-4400
Organisation at this address
Neurogenesis Center Of Florida, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Also registered as
Clinical Psychologist
Licence states on file
FL, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida