Thomas C Fairbank, PHD - Psychologist in Layton, UT

Thomas C Fairbank, PHD is a Psychologist - Clinical based in Layton, Utah. Thomas C Fairbank is licensed to practice in Utah (license number 109352-2501) and his current practice location is 2084 N 1700 W Ste 6, Layton, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 773-7177.

NPI number for Thomas C Fairbank is 1194709980 and his current mailing address is 1767 N 2525 E, Layton, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194709980.

Contact Information

Thomas C Fairbank, PHD
2084 N 1700 W Ste 6,
Layton, UT 84041
(801) 773-7177
Not Available



Healthcare Provider's Profile

Full NameThomas C Fairbank
GenderMale
SpecialityPsychologist - Clinical
Location2084 N 1700 W Ste 6, Layton, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194709980
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 10/18/2007

Medical Identifiers

Medical identifiers for Thomas C Fairbank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194709980NPI-NPPES
870465986000MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 109352-2501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas C Fairbank is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas C Fairbank, PHD
1767 N 2525 E,
Layton, UT 84040

Ph: (801) 546-9515
Thomas C Fairbank, PHD
2084 N 1700 W Ste 6,
Layton, UT 84041

Ph: (801) 773-7177

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› Verified 5 days ago


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