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SAMANTHA ROSE FANNIN
NPI 1124789052
Specialist/Technologist - Speech-Language Assistant in Glendale, AZ

Active since January 03, 2022
4327 W MICHIGAN AVE, GLENDALE, AZ 85308(623) 986-9533 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Rose Fannin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ROSE FANNIN (NPI 1124789052) is an individual speech-language assistant in Glendale, Arizona, licensed in Arizona (SLPA13538) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1124789052
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameSAMANTHA ROSE FANNIN
Location Address4327 W MICHIGAN AVEGlendale, AZ 85308-1640
Mailing Address4327 W Michigan AveGlendale, AZ 85308-1640 · (623) 986-9533
Phone(623) 986-9533
Sole ProprietorYes
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1124789052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in AZ · SLPA13538
4327 W MICHIGAN AVE, Glendale, AZ 85308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Fannin's NPI number?

The NPI number for Samantha Fannin is 1124789052. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Samantha Fannin located?

Samantha Fannin practices at 4327 W Michigan Ave, Glendale, AZ 85308. The listed phone number is (623) 986-9533.

What is Samantha Fannin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Samantha Fannin was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.