Provider Information for 1790765030
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DENNY E FAHEY LPC
Sex: Male
NPI: 1790765030
Last Updated: 2022-04-19
Certification Date: 2022-04-19
Certification Date: 2022-04-19
Details
| Name | Value | ||||||||
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| NPI | 1790765030 | ||||||||
| Enumeration Date | 2006-01-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 101 FEU FOLLET RD STE 100 LAFAYETTE, LA 70508-4234 United States Phone: 713-686-9194 | Fax:713-686-9413 | ||||||||
| Primary Practice Address | 4411 DACOMA ST HOUSTON, TX 77092-8611 United States Phone: 713-686-9194 | Fax:713-686-9413 | ||||||||
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