Individual
DR. KAREN MICHELLE FAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 MAPLE AVE, 5B, RED BANK, NJ 07701-1734
(732) 747-9221
Mailing address
130 MAPLE AVE, 5B, RED BANK, NJ 07701-1734
(732) 747-9221
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4362
NJ
103T00000X
Psychologist
0132182
NY
103TC0700X
Clinical Psychologist
Primary
0131282
NY
103TH0100X
Health Service Psychologist
4362
NJ
103TR0400X
Rehabilitation Psychologist
4362
NJ
Other
Enumeration date
12/18/2006
Last updated
07/17/2007
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