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Individual

MR. JOHN FERGUS FAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

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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