Individual
DR. DAVID P FAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7307 BALTIMORE AVE, SUITE 208, COLLEGE PARK, MD 20740-3231
(301) 277-3250
(301) 927-8052
Mailing address
920 INDEPENDENCE AVE SE, WASHINGTON, DC 20003-3918
(202) 441-8823
(301) 927-8052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01730
MD
103T00000X
Psychologist
1000523
DC
103TC2200X
Clinical Child & Adolescent Psychologist
01730
MD
103TC2200X
Clinical Child & Adolescent Psychologist
1000523
DC
103TF0000X
Family Psychologist
01730
MD
103TF0000X
Family Psychologist
1000523
DC
Other
Enumeration date
03/16/2007
Last updated
01/03/2012
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