Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK G FANGER, ED.D.
Active Sole ProprietorDR. MARK G FANGER, ED.D. is a Clinical Psychologist healthcare provider located in NEWTON UPPER FALLS, Massachusetts. NPI 1730159146 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NEWTON UPPER FALLS, MA
Registration Details
- NPI Number
- 1730159146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.575547969384 yrs)
- Last Updated
- Jun 29, 2009
- Licenses
-
2215 (MA)2215 (MA)2215 (MA)2215 (MA)2215 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
73 ROUNDWOOD RDNEWTON UPPER FALLS, MA, 024641218Browse MA providers · Browse ZIP 02464
- Phone
- 6179694040
- Fax
- 6177952065
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.