Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Fanning

Individual provider Clinical Psychologist · NPI 1790184638

Dr. Michael Fanning is a Clinical Psychologist in Palestine, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2014
Specialties on file
2

Practice location Address checks out

210 W Oak St
Palestine, TX 75801-2710
Phone: (404) 734-6757
Fax: (877) 737-0499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6815 Oakridge, San Antonio, TX 78229-4230 — (800) 528-1234

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 38300 (TX)
Driver Taxonomy 172A00000X

Record details

NPI number1790184638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address9725 Decatur Dr, Indianapolis, IN 46256-9656