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Lisa Marie Fann, B.A., M.A.

Speech-Language Pathologist, in Bonita, CA. Individual provider (NPI-1).

NPI number1982148086
StatusActive
Last updated in NPPESMay 16, 2021

Details

NPI
1982148086
Entity type
Individual (NPI-1)
Name
Lisa Marie Fann
Credential
B.A., M.A.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2016
Certification date
May 16, 2021
Last updated
May 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

5302 Annie Laurie Ln
Bonita, CA 91902-2713

Phone 619-212-5711

Mailing address

14248 Lyons Valley Rd Apt 2
Jamul, CA 91935-1810

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Other Speech-Language Pathologist providers in Bonita, CA

All 5 Speech-Language Pathologist providers in Bonita · All 198 providers in Bonita

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