Individual provider · Type 1 NPI

Barbara Ellen Fannin, PhD

Clinical Psychologist · Los Angeles, CA

NPI number 1194916957 Active · reactivated Mar 18, 2021

Practice location

4929 Wilshire Blvd, Suite Number 510
Los Angeles, CA 90010-3808

Call (562) 904-3999 Map

Fax (855) 688-6746

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1050 (HI)
Psychologist 103T00000X0172541 (NY)
Clinical Psychologist 103TC0700X1293 (NM)
Clinical Psychologist Primary 103TC0700XPSY26371 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1194916957

Barbara Ellen Fannin, PhD's National Provider Identifier is 1194916957, issued on Aug 7, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 18, 2021.