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Sandra C Fanning, PHD
Health Service Psychologist in Henrico, Virginia
NPI 1578332904

Sandra C Fanning is a Health Service Psychologist based in Henrico, VA and is specialized in Health Service. Sandra C Fanning practices in Henrico, VA and has the professional credentials of PHD. The NPI Number for Sandra C Fanning is 1578332904 and holds a License No. 0810007917 (Virginia).

The current practice location address for Sandra C Fanning is 3417 Grove Gate Ct Apt 1832, Henrico, VA and can be reached out via phone at 215-301-3039.

Location: 3417 Grove Gate Ct Apt 1832, Henrico, VA, 23233-0232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578332904
Provider Name
Sandra C Fanning
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3417 Grove Gate Ct Apt 1832, Henrico, VA, 23233-0232
Phone Number
215-301-3039
Fax Number
Provider Enumeration Date
12/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3417 Grove Gate Ct Apt 1832
City
Henrico
State
Virginia
Zip
23233-0232
Phone Number
215-301-3039
Fax Number
person
Provider Business Mailing Address Details
Address
3417 Grove Gate Ct Apt 1832
City
Henrico
State
Virginia
Zip
23233-0232
Phone Number
215-301-3039
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
0810007917 (Virginia)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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