Doctor Name: | MRS. CAROLYN A FAHY |
NPI Number: | 1316299506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SCO5217600 |
Business Practice Address: | 228 Kings Hwy East Suite 101 Haddonfield, NJ - 08033 |
Business Phone Number: | 8562168111 |
Business Fax Number: | |
Mailing Address: | 223 Mimosa Dr, CHERRY HILL |
State: | NJ |
Postal Code: | 080031334 |
Phone Number: | 8568160280 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 10/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SCO5217600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |