MICHAEL FANNING

PALESTINE, TX
NPI1790184638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  38300)
Additional Taxonomies172A00000X Driver
Enumeration Date2014-08-15
Last Update Date2020-03-27
Business Address
Dr. MICHAEL FANNING
210 W OAK ST
PALESTINE, TX 75801-2710
Phone number: 404-734-6757
Mailing Address
Dr. MICHAEL FANNING
9725 DECATUR DR
INDIANAPOLIS, IN 46256-9656
Phone number: 312-656-5489
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