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

Nancy Sansom Rathburn, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104126895

Nancy Sansom Rathburn, MACCC-SLP is a Speech-Language Pathologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010

Practice location Address checks out

3320 E State Blvd
Fort Wayne, IN 46805-5601
Phone: (260) 484-3120
Fax: (260) 969-0104
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 22001327A (IN)

Record details

NPI number1104126895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 27, 2010

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