DR. Brian Louis Fast, PSYD

NPI #1144212283 in Delmar, New York

Provider Information

NPI Number
1144212283
Entity Type
Individual
Name
DR. Brian Louis Fast, PSYD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PSYD
Enumeration Date
Aug 16, 2005
Last Updated
Nov 6, 2007

Practice Location

Address
196 DELAWARE AVENUE
City
Delmar
ZIP Code
12054-1227
Phone
(518) 439-0033

Specialties & Taxonomy Codes

Specialty
Psychologist

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