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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124068135 | NPPES |
| Nevada | MEDICAID | 004716904 |
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