Autry, Fayola

Autry, Fayola is an individual health care provider with primary practice located at 4368 Lincoln Ave , Oakland CA 94602-2529. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Autry, Fayola can be contacted via phone (510) 531-3111.

Contact Information

Primary practice address
4368 Lincoln Ave Oakland CA 94602-2529
Phone: (510) 531-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1831436997
LBN Legal business name Autry, Fayola
Credentials MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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