Search › Florida › 103TC0700X
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
- 6
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- 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