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

Jordan N Fanning, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1023856432

Jordan N Fanning, MS, CCC-SLP is a Speech-Language Pathologist in Richmond Heights, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1027 Bellevue Ave
Richmond Heights, MO 63117-1996
Phone: (314) 768-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2020013197 (MO)

Record details

NPI number1023856432
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address1308 Charing Cross Ln, Ballwin, MO 63021-7430

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