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

Laura E Fannon, PSYDINTERN

Individual provider Mental Health Counselor · NPI 1720104615

Laura E Fannon, PSYDINTERN is a Clinical Psychologist in San Francisco, California. Qualified in 2007, 19 years ago. Practices with Petaluma Health Center Inc, a 76-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2007
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Practice location Address checks out

760 Harrison St
San Francisco, CA 94107-1235
Phone: (415) 836-1700
Fax: (415) 836-1737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1179 N McDowell Blvd, Petaluma, CA 94954-6559 — (707) 559-7500

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720104615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYDINTERN
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESNovember 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Petaluma Health Center Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Francisco