Individual
MR. JOHN FERGUS FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2001 DWIGHT WAY, 5 NORTH, BERKELEY, CA 94704-2608
(510) 204-4896
(510) 204-4655
Mailing address
2001 DWIGHT WAY, 5 NORTH, BERKELEY, CA 94704-2608
(510) 204-4896
(510) 204-4655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY14056
CA
103T00000X
Psychologist
PSY14056
CA
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY14056
CA
103TR0400X
Rehabilitation Psychologist
PSY14056
CA
Other
Enumeration date
02/01/2007
Last updated
09/11/2025
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