Individual provider · Type 1 NPI

Amber Lee Fasula, PSY.D., BCN

Clinical Psychologist · Maitland, FL

NPI number 1730364472 Active

Practice location

253 N Orlando Ave Ste 202
Maitland, FL 32751

Fax (407) 277-4400

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PY9333 (FL)
Clinical Psychologist	103TC0700X	071007844 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1730364472

Amber Lee Fasula, PSY.D., BCN's National Provider Identifier is 1730364472, issued on Dec 31, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Maitland, FL. The record was last updated on Mar 31, 2021.