NPI 1003112871

Lisa Fannin, MSCCCSLP

Practitioner Speech-Language Pathologist Ripon, CA

Practice location

Address: 728 Nancy Dr, Ripon, CA 95366-3310
Phone: (209) 765-5057

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP 13292 (CA)

Other Speech-Language Pathologist providers in California →

Registry record

NPI: 1003112871
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2011
Record last updated: 19 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.