Individual
WILLIAM JAMES FERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 2ND ST, SUITE A, BROOKVILLE, PA 15825-1509
(814) 849-2844
(814) 849-3425
Mailing address
70 2ND ST, SUITE A, BROOKVILLE, PA 15825-1509
(814) 849-2844
(814) 849-3425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002818
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009170820001
—
PA
Enumeration date
01/03/2007
Last updated
07/09/2007
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