Lisa Fannin, M.S.,CCC-SLP
NPI #1003112871 in Ripon, California
Provider Information
- NPI Number
- 1003112871
- Entity Type
- Individual
- Name
- Lisa Fannin, M.S.,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S.,CCC-SLP
- Enumeration Date
- Jan 26, 2011
- Last Updated
- Feb 19, 2016
Practice Location
- Address
- 728 NANCY DR
- City
- Ripon
- State
- California
- ZIP Code
- 95366-3310
- Phone
- (209) 765-5057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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