Fady Philip Michail MA, LAC

NPI 1063847663 - Counselor - 101YA0400X

NPI Details
NPI 1063847663
Gender Male
Enumeration Date 09/13/2013
Last Updated 09/13/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2109 PENNINGTON RD
EWING NJ, 08638-1400, US
Phone (610) 644-6464
Fax (610) 981-6078
Business Location
1440 RUSSELL RD
PAOLI PA, 19301-1236, US
Phone (610) 644-6464
Fax (610) 981-6078
Toxanomy
Taxonomy Code 101YA0400X
License State New Jersey
License Number 37AC00124300
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According to our database, Fady Philip Michail MA, LAC NPI is 1063847663, taxonomy code is 101YA0400X and license number is 37AC00124300, license state is located at New Jersey. Fady Philip Michail MA, LAC physically located at 2109 Pennington Rd, Ewing NJ, 08638-1400. NPI Number Fady Philip Michail MA, LAC has the Individual type.

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1063847663 NPI number is provided on an as is basis without warranty of any kind. 1063847663 is maintained by the National Plan & Provider Enumeration System. The contents of Fady Philip Michail MA, LAC are for informational purposes only.