Jordan N Fanning, MS, CCC-SLP
NPI #1023856432 in Richmond Heights, Missouri
Provider Information
- NPI Number
- 1023856432
- Entity Type
- Individual
- Name
- Jordan N Fanning, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Jul 18, 2024
Practice Location
- Address
- 1027 BELLEVUE AVE
- City
- Richmond Heights
- State
- Missouri
- ZIP Code
- 63117-1996
- Phone
- (314) 768-5202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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