Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cicely Fanning

Individual provider Speech-Language Pathologist · NPI 1043304132

Cicely Fanning is a Speech-Language Pathologist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

2208 N Yellowood Ave
Broken Arrow, OK 74012-9102
Phone: (918) 286-1261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12094555 (OK)

Record details

NPI number1043304132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2208 N Yellowood Ave, Broken Arrow, OK 74012-9102

Other providers in Broken Arrow