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Individual

ROBERT JAMES FAY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
7505 WATERS AVE, SAVANNAH, GA 31406-3825
(912) 354-2002
Mailing address
7505 WATERS AVE, SAVANNAH, GA 31406-3817
(912) 354-2002

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1917
GA
103TC0700X
Clinical Psychologist
PSY10445
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00620991A
GA
Enumeration date
06/10/2006
Last updated
07/08/2007
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