Individual
DR. THOMAS MICHAEL FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
236 BOSTON POST RD, ORANGE, CT 06477-3236
(203) 410-0745
Mailing address
236 BOSTON POST RD, ORANGE, CT 06477-3236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002635
CT
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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