Individual
JAMES FAVRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
79 MDOS SGOH, 1050 W. PERIMETER RD, ANDREWS AFB, MD 20762
(240) 857-9944
Mailing address
11 GERMAN ST, ANNAPOLIS, MD 21401-3514
(410) 267-9646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03346
MD
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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