Fahy, John Fergus

Fahy, John Fergus is an individual health care provider with primary practice located at 2001 Dwight Way 5 North, Berkeley CA 94704-2608. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Rehabilitation is his primary health care specialty. Fahy, John Fergus can be contacted via phone (510) 204-4896.

Contact Information

Primary practice address
2001 Dwight Way 5 North Berkeley CA 94704-2608
Phone: (510) 204-4896
Fax: (510) 204-4655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PSY14056 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14056 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY14056 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY14056 California

Profile Details

NPI number 1588702740
LBN Legal business name Fahy, John Fergus
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - 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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