Individual
DR. DAVID ANTHONY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1715 KUENZIL ST., RENO, NV 89502-1521
(775) 329-5162
(775) 334-4359
Mailing address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4359
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0350
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004716904
—
NV
Enumeration date
06/07/2006
Last updated
11/25/2009
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