- Practice location
- 5 W 19TH St Rm 3R, New York, NY 10011-4238
- Phone
- 786-244-7711
- Fax
- —
- Last updated
- August 14, 2024
Sandra C Fanning is a Psychologist, Health Service based in New York, NY. Sandra C Fanning practices in New York, NY and has the professional credentials of PHD. The NPI Number for Sandra C Fanning is 1578332904 and holds a License No. 0810007917 (VA). The current practice location address for Sandra C Fanning is 5 W 19TH St Rm 3R, New York, NY 10011-4238 and can be reached out via phone at 786-244-7711.
Provider Profile Details
- NPI Number
- 1578332904
- Provider Name
- Sandra C Fanning
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 W 19TH St Rm 3R, New York, NY 10011-4238
- Phone Number
- 786-244-7711
- Primary Taxonomy
- Psychologist, Health Service · 103TH0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2023
- Last Update Date
- August 14, 2024
- Certification Date
- August 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 W 19TH St Rm 3R
New York, NY 10011-4238 - City
- New York
- State
- New York
- Zip
- 10011-4238
- Phone Number
- 786-244-7711
Provider Business Mailing Address Details
- Address
- 5 W 19TH St Rm 3R
New York, NY 10011-4238 - City
- New York
- State
- NY
- Zip
- 10011-4238
- Phone Number
- 786-244-7711
License Information
- License Number
- 0810007917
- License State
- VA
- Taxonomy
- Psychologist, Health Service · 103TH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandra C Fanning, PHD?
The NPI number of Sandra C Fanning, PHD is 1578332904. It was assigned on December 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Sandra C Fanning, PHD?
Sandra C Fanning, PHD is registered under the primary taxonomy Psychologist, Health Service (code 103TH0100X), licensed in VA under license number 0810007917.
Where does Sandra C Fanning, PHD practice?
The practice location is 5 W 19TH St Rm 3R, New York, NY 10011-4238. The office can be reached at 786-244-7711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578332904 directly on the NPPES registry website.