Individual
JOANNA FAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
45 POPHAM RD APT 1D, SCARSDALE, NY 10583-4224
(914) 468-4624
Mailing address
45 POPHAM RD APT 1D, SCARSDALE, NY 10583-4224
(914) 468-4624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020346
NY
Other
Enumeration date
05/06/2014
Last updated
04/12/2022
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