NPI 1043304132

Cicely Fanning

Practitioner Speech-Language Pathologist Broken Arrow, OK

Practice location

Address: 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102
Phone: (918) 286-1261

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 12094555 (OK)

Other Speech-Language Pathologist providers in Oklahoma →

Registry record

NPI: 1043304132
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

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.