Doctor Name: | JAMES W FAY |
NPI Number: | 1003040312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 1065 Rte 22 Suite 3 D Bridgewater, NJ - 088072949 |
Business Phone Number: | 9082310511 |
Business Fax Number: | 9082311115 |
Mailing Address: | 273 Carlton Ave, WASHINGTON |
State: | NJ |
Postal Code: | 078821213 |
Phone Number: | 9085960095 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |