NPI 1972534493 DR. THOMAS ROBERT FANNING PSY.D. WOLF POINT MT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Thomas Robert Fanning - NPI: 1972534493

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. THOMAS ROBERT FANNING
NPI Number: 1972534493
Entity Type Code: Individual (1)
Gender: M
Credentials: PSY.D.
License Number: 2221-057
Business Practice Address: 550 6th Avenue North
Indian Health Service Wolf Point, MT - 59201
Business Phone Number: 4066531641
Business Fax Number: 4066533728
Mailing Address: 550 6th Avenue North, Indian Health Service
WOLF POINT
State: MT
Postal Code: 59201
Phone Number: 4066531641
Fax Number: 4066533728
NPI Enumeration Date: 07/05/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC0700X
License Number: 2221-057
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WI
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical
Taxonomy Definition:


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