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Individual

CAROL A FAHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
47-122 UAKOKO PLACE, KANEOHE, HI 96744
(808) 838-9541
Mailing address
47-122 UAKOKO PLACE, KANEOHE, HI 96744
(808) 838-9541

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10319
CA
103T00000X
Psychologist
1218
HI
103T00000X
Psychologist
34085
TX

Other

Enumeration date
04/14/2011
Last updated
09/20/2012
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