Healthcare Provider Details

I. General information

NPI: 1316037658
Provider Name (Legal Business Name): WILLIAM E FAHEY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MAIN ST
NASHUA NH
03064-2716
US

IV. Provider business mailing address

140 HIGH ST FL 2
SPRINGFIELD MA
01199-1006
US

V. Phone/Fax

Practice location:
  • Phone: 603-689-7978
  • Fax:
Mailing address:
  • Phone: 413-794-1983
  • Fax: 413-794-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1395
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: