Active NPIIndividual provider

Katherine Fanfan, MS, CCC-SLP

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1649642927
Practice location
16D Kennebec St, Worcester, MA 01606-1060
Fax
—
Last updated
October 26, 2015

Katherine Fanfan is a Speech-Language Pathologist, based in Worcester, MA. Katherine Fanfan practices in Worcester, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Katherine Fanfan is 1649642927 and holds a License No. 7632 (MA). The current practice location address for Katherine Fanfan is 16D Kennebec St, Worcester, MA 01606-1060 and can be reached out via phone at 508-527-7454.

Provider Profile Details

NPI Number
1649642927
Provider Name
Katherine Fanfan
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
16D Kennebec St, Worcester, MA 01606-1060
Phone Number
508-527-7454
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
-- Katherine Dunn, MS, CCC-SLP (Former Name)
Provider Enumeration Date
October 26, 2015
Last Update Date
October 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
16D Kennebec St
Worcester, MA 01606-1060
Zip
01606-1060
Phone Number
508-527-7454
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
16D Kennebec St
Worcester, MA 01606-1060
City
Worcester
State
MA
Zip
01606-1060
Phone Number
508-527-7454

License Information

License Number
7632
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katherine Fanfan, MS, CCC-SLP?

The NPI number of Katherine Fanfan, MS, CCC-SLP is 1649642927. It was assigned on October 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Katherine Fanfan, MS, CCC-SLP?

Katherine Fanfan, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 7632.

Where does Katherine Fanfan, MS, CCC-SLP practice?

The practice location is 16D Kennebec St, Worcester, MA 01606-1060. The office can be reached at 508-527-7454 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649642927 directly on the NPPES registry website.

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