Provider Demographics
NPI:1376881102
Name:EHIVET, FABIENNE ESTELLE
Entity Type:Individual
Prefix:
First Name:FABIENNE
Middle Name:ESTELLE
Last Name:EHIVET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 RIDGEWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1031
Mailing Address - Country:US
Mailing Address - Phone:404-778-3604
Mailing Address - Fax:404-778-3888
Practice Address - Street 1:2004 RIDGEWOOD DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1031
Practice Address - Country:US
Practice Address - Phone:404-778-3604
Practice Address - Fax:404-778-3888
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS