Peter R Fay, LICSW
NPI #1063018166 in Jamestown, Rhode Island
Provider Information
- NPI Number
- 1063018166
- Entity Type
- Individual
- Name
- Peter R Fay, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Dec 5, 2020
- Last Updated
- Jan 8, 2021
Practice Location
- Address
- 1 SWINBURNE ST
- City
- Jamestown
- State
- Rhode Island
- ZIP Code
- 02835-1413
- Phone
- (401) 339-9659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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Organizations
| Provider Name | |
|---|---|
| Community Counseling and Restoration Practices LLC |
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