Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES ADRIAN FOGARTY, ED.D.
Active Sole ProprietorMR. JAMES ADRIAN FOGARTY, ED.D. is a Clinical Psychologist healthcare provider located in ROCKTON, Illinois. NPI 1891085767 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROCKTON, IL
Registration Details
- NPI Number
- 1891085767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2011 (15.297119820985 yrs)
- Last Updated
- Apr 27, 2016
- Licenses
-
071.003659 (IL)071-003-659 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 S. PRAIRIE ST. SUITE AROCKTON, IL, 61072Browse IL providers · Browse ZIP 61072
- Phone
- 8156248383
- Fax
- 8156248383
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical 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.