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

Sandra C Fanning, PHD

Individual provider Health Service Psychologist · NPI 1578332904

Sandra C Fanning, PHD is a Health Service Psychologist in New York, New York. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5 W 19th St Rm 3R
New York, NY 10011-4238
Phone: (786) 244-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence 0810007917 (VA)

Record details

NPI number1578332904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 27, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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