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Mr. Jerry Fatica, LPA
Psychologist in Jacksonville, North Carolina
NPI 1598741035

Jerry Fatica is a Psychologist based in Jacksonville, NC. Jerry Fatica practices in Jacksonville, NC and has the professional credentials of LPA. The NPI Number for Jerry Fatica is 1598741035 and holds a License No. 1096 (North Carolina).

The current practice location address for Jerry Fatica is 1703 Country Club Road, Jacksonville, NC and can be reached out via phone at 910-347-3010 and via fax at 910-347-3201. You can also correspond with Jerry Fatica through the mailing address at 1703 COUNTRY CLUB ROAD, JACKSONVILLE, NC - 28546 (mailing address contact number: 910-347-3010).

Location: 1703 Country Club Road, Jacksonville, NC, 28546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598741035
Provider Name
Jerry Fatica
Credential
LPA
Provider Entity Type
Individual
Gender
Male
Address
1703 Country Club Road, Jacksonville, NC, 28546
Phone Number
910-347-3010
Fax Number
910-347-3201
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141GP 01 NC BC/BS
6107096 05 NC
institution
Provider Business Practice Location Address Details
Address
1703 Country Club Road
City
Jacksonville
State
North Carolina
Zip
28546
Phone Number
910-347-3010
Fax Number
910-347-3201
person
Provider Business Mailing Address Details
Address
1703 Country Club Road
City
Jacksonville
State
North Carolina
Zip
28546
Phone Number
910-347-3010
Fax Number
910-347-3201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
1096 (North Carolina)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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