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

Sophia Kimberly Fanara, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619780889

Sophia Kimberly Fanara, MSCCC-SLP is a Speech-Language Pathologist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-7000
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 146018176 (IL)

Record details

NPI number1619780889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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