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Search › Louisiana › 101YA0400X

David Fatheree, LAC

NPI 1790003358 · on the registry since 2010 · sole proprietor

Practice

Address
114 Representative Row
Lafayette, LA 70508
Phone
(337) 412-6825
Fax
(337) 504-4376
Organisation at this address
Dickens Inspired Llc
Synergy Behavioral Health Services Llc.,
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-03

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 Louisiana