Individual provider · Type 1 NPI

Sophia Kimberly Fanara, M.S. CCC-SLP

Speech-Language Pathologist · Rockford, IL

NPI number 1619780889 Active

Practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Call (815) 971-7000 Map

Mailing address

149 Titleist Trl
Poplar Grove, IL 61065-7808

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146018176 (IL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1619780889

Sophia Kimberly Fanara, M.S. CCC-SLP's National Provider Identifier is 1619780889, issued on Jan 30, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Rockford, IL. The record was last updated on Jan 30, 2025.