Search › California › 106H00000X
Matthew Fava, PSY.D, MFT
NPI 1881950624 · on the registry since 2012 · sole proprietor
Practice
- Address
- 404 W Pine St
Sutie 1
Lodi, CA 95240 - Phone
- (209) 769-9554
- Fax
- (209) 435-0894
- Organisation at this address
- Matthew Fava
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-05
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 California