Fahey, Jean

Fahey, Jean is an sole proprietor health care provider with primary practice located at 27 Gorham Rd Suite 13, Scarborough ME 04074. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fahey, Jean can be contacted via phone (781) 862-3219.

Contact Information

Primary practice address
27 Gorham Rd Suite 13 Scarborough ME 04074
Phone: (781) 862-3219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1376 Maine
Other Service Providers / Specialist 174400000X PS1376 Maine

Profile Details

NPI number 1477615441
LBN Legal business name Fahey, Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Nov 7th, 2019 - about 6 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 1477615441 NPPES
Massachusetts Other 6698 LICENSE NUMBER

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