Individual provider · Type 1 NPI

Fuey Clarie Phan

Speech-Language Pathologist · Shasta Lake, CA

NPI number 1689582124 Active

Practice location

4620 Vallecito St
Shasta Lake, CA 96019-9348

Fax (530) 275-7025

Mailing address

4411 Mountain Lakes Blvd
Redding, CA 96003-1446

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X19916 (CA)

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…

Another provider at this address

About NPI 1689582124

Fuey Clarie Phan's National Provider Identifier is 1689582124, issued on Aug 27, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Shasta Lake, CA. The record was last updated on Aug 27, 2026.