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Dr. Tara Fairbanks
Psychologist in Santa Monica, California
NPI 1750781118

Tara Fairbanks is a Psychologist based in Santa Monica, CA. Tara Fairbanks practices in Santa Monica, CA. The NPI Number for Tara Fairbanks is 1750781118 and holds a License No. (California).

The current practice location address for Tara Fairbanks is 3301 Ocean Park Blvd Ste 210, Santa Monica, CA and can be reached out via phone at 323-761-9591.

Location: 3301 Ocean Park Blvd Ste 210, Santa Monica, CA, 90405-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750781118
Provider Name
Tara Fairbanks
Credential
Provider Entity Type
Individual
Gender
Female
Address
3301 Ocean Park Blvd Ste 210, Santa Monica, CA, 90405-3230
Phone Number
323-761-9591
Fax Number
Provider Enumeration Date
09/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6758 05 CA
7068 05 CA
7420 05 CA
institution
Provider Business Practice Location Address Details
Address
3301 Ocean Park Blvd Ste 210
City
Santa Monica
State
California
Zip
90405-3230
Phone Number
323-761-9591
Fax Number
person
Provider Business Mailing Address Details
Address
3301 Ocean Park Blvd Ste 210
City
Santa Monica
State
California
Zip
90405-3230
Phone Number
323-761-9591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
32174 (California)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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