Individual provider · Type 1 NPI

Samantha Rose Fannin

Speech-Language Assistant · Glendale, AZ

NPI number 1124789052 Active

Practice location

4327 W Michigan Ave
Glendale, AZ 85308-1640

Call (623) 986-9533 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA13538 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1124789052

Samantha Rose Fannin's National Provider Identifier is 1124789052, issued on Jan 3, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Glendale, AZ. The record was last updated on Jan 3, 2022.