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

SANDRA C FANNING, PH.D

Active

SANDRA C FANNING, PH.D is a Health Service Psychologist healthcare provider located in NEW YORK, New York. NPI 1578332904 is currently active in the NPPES registry. Verify at CMS.

Health Service Psychologist · NEW YORK, NY

Registration Details

NPI Number
1578332904
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2023 (2.4470753923884 yrs)
Last Updated
Aug 14, 2024
License
0810007917 (VA)

Practice Information

Address
5 W 19TH ST RM 3R
NEW YORK, NY, 100114238
Browse NY providers · Browse ZIP 10011
Phone
7862447711
Primary Specialty
Health Service Psychologist
103TH0100X

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DR. SHANNON O'NEILL PHD 1689220469
TRECEL MCCALMAN 1346910163
DR. STEPHEN VITON GULLO PHD. PSYCHOLOGY 1932070422
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.