DR. Robert Cory Fanto, PHD

NPI #1912223454 in Medical Lake, Washington

Provider Information

NPI Number: 1912223454
Entity Type: Individual
Name: DR. Robert Cory Fanto, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Apr 8, 2010
Last Updated: Apr 8, 2010

Practice Location

Address: 800 WEST MAPLE STREET
City: Medical Lake
State: Washington
ZIP Code: 99022-0800
Phone: (509) 565-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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