Faw Services , LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.0007 Issued in LA

Legal business name

FAW SERVICES , LLC

Practice address

223 Bellingrath PL
Madisonville, LA 70447-3421

Phone

(985) 264-1501

NPI assigned

Jul 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Felicia Ann Whiteman, PHD, M.D.

Title

Owner, Sole Proprietor

Phone

(985) 264-1501

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1730520925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BELLINGRATH PL",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473421",
            "telephone_number": "985-264-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BELLINGRATH PL",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473421",
            "telephone_number": "985-264-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAW SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "985-264-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.0007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Madisonville, LA
• Providers in Madisonville, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.