Fahey, David Anthony

Fahey, David Anthony is an individual health care provider with primary practice located at 1715 Kuenzil St. , Reno NV 89502-1521. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fahey, David Anthony can be contacted via phone (775) 329-5162.

Contact Information

Primary practice address
1715 Kuenzil St. Reno NV 89502-1521
Phone: (775) 329-5162
Fax: (775) 334-4359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY0350 Nevada

Profile Details

NPI number 1124068135
LBN Legal business name Fahey, David Anthony
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 25th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124068135 NPPES
Nevada MEDICAID 004716904

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