Laconda Gertrude Fanning PSY,D, LPC

NPI 1700981396 - Counselor - 101YP2500X

NPI Details
NPI 1700981396
Gender Female
Enumeration Date 09/14/2006
Last Updated 02/04/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
600 MEDICAL DR
SUITE A & B
HAMPTON VA, 23666-1769, US
Phone (757) 788-0600
Fax
Business Location
300 MEDICAL DR
2ND FLOOR
HAMPTON VA, 23666-1765, US
Phone (757) 788-0300
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Virginia
License Number 0701003750
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According to our database, Mrs. Laconda Gertrude Fanning PSY,D, LPC NPI is 1700981396, taxonomy code is 101YP2500X and license number is 0701003750, license state is located at Virginia. Laconda Gertrude Fanning PSY,D, LPC physically located at 600 Medical Dr, Hampton VA, 23666-1769. NPI Number Laconda Gertrude Fanning PSY,D, LPC has the Individual type.

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1700981396 NPI number is provided on an as is basis without warranty of any kind. 1700981396 is maintained by the National Plan & Provider Enumeration System. The contents of Laconda Gertrude Fanning PSY,D, LPC are for informational purposes only.