Jordan N. Fanning, MS, CCC-SLP

Speech-Language Pathologist · Richmond Heights, MO

Individual Active NPI

NPI number 1023856432

Practice location

1027 Bellevue Ave
Richmond Heights, MO 63117-1996
Phone
(314) 768-5202

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NPI record

NPI
1023856432
Entity type
Individual (Type 1)
Enumeration date
July 18, 2024
Last updated
July 18, 2024
Certified
July 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2020013197 MO

Mailing address

1308 Charing Cross Ln
Ballwin, MO 63021-7430

About Jordan Fanning

Jordan N. Fanning, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1027 Bellevue Ave, Richmond Heights, MO 63117-1996. The NPI number 1023856432 was assigned on July 18, 2024 and the record was last updated on July 18, 2024.

Jordan Fanning lists a license in the registry: #2020013197 (MO) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan N. Fanning, MS, CCC-SLP?

The NPI number is 1023856432.

What is the phone number of Jordan Fanning?

The phone number listed for the practice location is (314) 768-5202.

Where is Jordan Fanning located?

1027 Bellevue Ave, Richmond Heights, MO 63117-1996.

What is the taxonomy code for Jordan Fanning?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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