Healthcare Provider Details

I. General information

NPI: 1447228077
Provider Name (Legal Business Name): WARREN L. FABER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 01/26/2020
Certification Date: 01/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8398 KINSMAN RD
NOVELTY OH
44072-9418
US

IV. Provider business mailing address

12894 WESTCHESTER TRL
CHESTERLAND OH
44026-2838
US

V. Phone/Fax

Practice location:
  • Phone: 216-462-0535
  • Fax: 216-765-0158
Mailing address:
  • Phone: 440-729-6229
  • Fax: 440-729-6224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1868
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: