Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BARBARA ELLEN FANNIN, PHD

Deactivated Sole Proprietor

DR. BARBARA ELLEN FANNIN, PHD is a Clinical Psychologist healthcare provider located in LOS ANGELES, California. NPI 1194916957 is deactivated in the NPPES registry. Verify at CMS.

Clinical Psychologist · LOS ANGELES, CA

This NPI has been deactivated. The record was deactivated on February 8, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1194916957
Provider Type: Individual
Gender: Female
NPI Issued: Aug 7, 2007 (13.506849315068 yrs)
Last Updated: Mar 18, 2021
Deactivated: Feb 8, 2021
Licenses: 1050 (HI)

0172541 (NY)

1293 (NM)

PSY26371 (CA)
Sole Proprietor: Yes

Practice Information

Address: 4929 WILSHIRE BLVD

SUITE NUMBER 510

LOS ANGELES, CA, 900103808
Browse CA providers · Browse ZIP 90010
Phone: 5629043999
Fax: 8556886746
Primary Specialty: Clinical Psychologist
103TC0700X
Additional Specialty: Psychologist
Additional Specialty: Clinical Psychologist
Additional Specialty: Clinical Psychologist

Other Clinical Psychologist Providers in LOS ANGELES, CA

Name	Credential	NPI
DR. ANN-MARIE STEPHENSON	—	1073511069
DR. SUZANNE BRUMER	PH.D.	1346240884
DR. KIMBERLY FINNEY	PSYCHOLOGIST	1154316115
DR. JAMES EDWARD BEWS	PH.D.	1114916707
DR. SUSAN MARGARET BRACE	R.N., PH.D	1851381883
ISRAEL RUBENSTEIN	PH.D.	1841281292

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.