Search › Arizona › 104100000X
Joseph Fagan, LMSW
NPI 1740773175 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4424 E Baseline Rd Apt 2067
Phoenix, AZ 85042 - Phone
- (602) 510-4662
- Organisation at this address
- Valley Mt Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona