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Contact Information

JEAN FAHEY, PSY.D.
27 GORHAM RD
SUITE 13
SCARBOROUGH, ME04074
 Phone: 781-862-3219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JEAN FAHEY · (Female)

NPI Number 1477615441
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 12/15/2006
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PS1376
  • MA Other 6698 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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