| Doctor Name: | JULIET FAY |
| NPI Number: | 1023207297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS, ARNP |
| License Number: | 0024165453 |
| Business Practice Address: | 5207 Trouble Creek Rd New Port Richey, FL - 346524915 |
| Business Phone Number: | 7278470125 |
| Business Fax Number: | |
| Mailing Address: | 5601 Willoughby Newton Dr, #27 CENTREVILLE |
| State: | VA |
| Postal Code: | 201201900 |
| Phone Number: | 7038505565 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 04/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 0024165453 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |