Fasula, Amber Lee

Fasula, Amber Lee is an individual health care provider with primary practice located at 253 N Orlando Ave Ste 202 , Maitland FL 32751. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fasula, Amber Lee can be contacted via phone (407) 790-4101.

Contact Information

Primary practice address
253 N Orlando Ave Ste 202 Maitland FL 32751
Phone: (407) 790-4101
Fax: (407) 277-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9333 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007844 Illinois

Profile Details

NPI number 1730364472
LBN Legal business name Fasula, Amber Lee
Credentials PSY.D., BCN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Mar 31st, 2021 - about 3 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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