MATTHEW JOSEPH FAVA

LODI, CA
NPI1881950624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  47392)
Enumeration Date2012-04-05
Last Update Date2012-04-05
Business Address
-- MATTHEW JOSEPH FAVA Psy.D, MFT
404 W PINE ST SUTIE 1
LODI, CA 95240-2048
Phone number: 209-769-9554
Mailing Address
-- MATTHEW JOSEPH FAVA Psy.D, MFT
404 W PINE ST SUTIE 1
LODI, CA 95240-2048
Phone number: 209-769-9554
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