| NPI | 1588702740 |
|---|---|
| Other Name | JACK FAHY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY14056) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14056) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY14056) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY14056) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |