Thomas Robert Fanning, PSY.D. Valid NPI
Individual provider · Clinical Psychologist · Fort Campbell, KY
- NPI
- 1972534493
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 2221-057 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-05
- Last updated
- 2025-04-22
Practice location
Blanchfield Army Community Hospital, 650 Joel Drive
Fort Campbell, KY 42223
(270) 798-8727