John Truman Fanning in Jefferson - Clinical
John Truman Fanning - NPI 1508072216
John Truman Fanning is a Clinical in Jefferson, Louisiana. John Truman Fanning practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Truman Fanning is 1508072216. The last update date is 2016-10-03.
John Truman Fanning's current location address is 715 Pecan Grove Ln, Jefferson, Louisiana. You can contact this provider via phone number 5044210730 and fax number 8889596762. The mailing address for John Truman Fanning is 715 Pecan Grove Ln, Jefferson, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Truman Fanning |
|---|---|
| Address | 715 Pecan Grove Ln, Jefferson, Louisiana |
| Phone Number | 5044210730 |
| Fax Number | 8889596762 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1508072216 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2016-10-03 |
Provider Mailing Address Detail
| Address | 715 Pecan Grove Ln |
|---|---|
| City | Jefferson |
| State | Louisiana (LA) |
| Post Code | 701211130 |
| Phone Number | 5044210730 |
| Fax Number | 8889596762 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 468 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1552836 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Truman Fanning by the Centers for Medicare & Medicaid Services?
The John Truman Fanning has been assigned the NPI (National Provider Identifier) 1508072216. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Truman Fanning's facilities are geographically located?
The facilities of John Truman Fanning are physically situated at the following location: 715 Pecan Grove Ln, Jefferson, LA, 701211130.
What is John Truman Fanning's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Truman Fanning is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1508072216 assigned to John Truman Fanning?
The John Truman Fanning was issued its 1508072216 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the John Truman Fanning's information last updated?
The John Truman Fanning's information was last updated on 2016-10-03.