Fanger, Mark G

Fanger, Mark G is an sole proprietor health care provider with primary practice located at 73 Roundwood Rd , Newton Upper Falls MA 02464-1218. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fanger, Mark G can be contacted via phone (617) 969-4040.

Contact Information

Primary practice address
73 Roundwood Rd Newton Upper Falls MA 02464-1218
Phone: (617) 969-4040
Fax: (617) 795-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2215 Massachusetts
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 2215 Massachusetts
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2215 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2215 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2215 Massachusetts
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 2215 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2215 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1730159146
LBN Legal business name Fanger, Mark G
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jun 29th, 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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