Jean Fahey is a Clinical in Scarborough, Maine. Jean Fahey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean Fahey is 1477615441. The last update date is 2019-11-07.
Jean Fahey's current location address is 27 Gorham Rd, Scarborough, Maine. You can contact this provider via phone number 7818623219. The mailing address for Jean Fahey is 27 Gorham Rd, Scarborough, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Fahey |
|---|---|
| Address | 27 Gorham Rd, Scarborough, Maine |
| Phone Number | 7818623219 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1477615441 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2019-11-07 |
Provider Mailing Address Detail
| Address | 27 Gorham Rd |
|---|---|
| City | Scarborough |
| State | Maine (ME) |
| Post Code | 4074 |
| Phone Number | 7818623219 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS1376 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6698 | MA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jean Fahey by the Centers for Medicare & Medicaid Services?
The Jean Fahey has been assigned the NPI (National Provider Identifier) 1477615441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jean Fahey's physical address?
The Jean Fahey is physically located at 27 Gorham Rd, in the city of Scarborough, ME, with the postal code 4074.
What is Jean Fahey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean Fahey's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477615441 to Jean Fahey?
The Centers for Medicare & Medicaid Services originally issued the 1477615441 to Jean Fahey on 2006-12-15.
As of what date were the Jean Fahey's details last updated?
The information pertaining to the Jean Fahey, including its address, specialty, and other details, was most recently updated on 2019-11-07.