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MRS. LACONDA GERTRUDE FANNING PSYD LPC NPI 1700981396


NPI Information

NPI: 1700981396
Provider Name: MRS. LACONDA GERTRUDE FANNING, PSY,D, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
600 MEDICAL DR
SUITE A & B
HAMPTON, VA
ZIP 23666
Phone: (757) 788-0600
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MRS. Laconda Gertrude Fanning, PSY,D, LPC is a professional counselor in Hampton, VA. MRS. Laconda Gertrude Fanning, PSY,D, LPC NPI is 1700981396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 MEDICAL DR
SUITE A & B
HAMPTON, VA
ZIP 23666-769
Phone: (757) 788-0600

The enumeration date for this NPI number is 9/14/2006 and was last updated on 2/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701003750VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010117241MEDICAIDVIRGINIA
24945573MEDICAIDVIRGINIA
3C03714MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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