Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Fannin, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1003112871

Lisa Fannin, MS, CCC-SLP is a Speech-Language Pathologist in Ripon, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

728 Nancy Dr
Ripon, CA 95366-3310
Phone: (209) 765-5057
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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 SP 13292 (CA)

Record details

NPI number1003112871
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESFebruary 19, 2016

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