Individual
RICHARD WILLIAM FAVER
Active
Individual
RICHARD WILLIAM FAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, L.P.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 3436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283522300
—
MN
01
—
43B77FA
BCBS OF MN
MN
Enumeration date
09/15/2006
Last updated
02/09/2024
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