Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY FATICA, LPA
ActiveMR. JERRY FATICA, LPA is a Psychologist healthcare provider located in JACKSONVILLE, North Carolina. NPI 1598741035 is currently active in the NPPES registry. Verify at CMS.
Psychologist · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1598741035
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2005 (20.621163965552 yrs)
- Last Updated
- May 8, 2008
- License
-
1096 (NC)
Practice Information
- Address
-
1703 COUNTRY CLUB ROADSUITE 204JACKSONVILLE, NC, 28546Browse NC providers · Browse ZIP 28546
- Phone
- 9103473010
- Fax
- 9103473201
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in JACKSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. GEROLF ENGELSTATTER | PHD | 1932185477 |
| MRS. JAMESZETTA HARDISON | LPA LMFT | 1043296585 |
| DR. KATHERINE PEREZ | PHD | 1689650129 |
| MISS MARY ENGELSTATTER | PHD | 1740266220 |
| MRS. ERIN LESKO | LPA | 1093791535 |
| DR. CHARLES GRAYSON GUYER | EDD | 1982680328 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.