Fuey Clarie Phan, - Speech-Language Pathologist in Shasta Lake, CA

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Fuey Clarie Phan, is a Speech-language Pathologist based in Shasta Lake, California. Fuey Clarie Phan is licensed to practice in California (license number 19916) and her current practice location is 4620 Vallecito St, Shasta Lake, California. She can be reached at her office (for appointments etc.) via phone at (530) 275-7020.

NPI number for Fuey Clarie Phan is 1689582124 and her current mailing address is 4411 Mountain Lakes Blvd, Redding, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689582124.

Contact Information

Fuey Clarie Phan,
4620 Vallecito St,
Shasta Lake, CA 96019-9348
(530) 275-7020
(530) 275-7025

Map and Direction




Healthcare Provider's Profile

Full NameFuey Clarie Phan
GenderFemale
SpecialitySpeech-language Pathologist
Location4620 Vallecito St, Shasta Lake, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689582124
  • Provider Enumeration Date: 08/27/2026
  • Last Update Date: 08/27/2026

Medical Identifiers

Medical identifiers for Fuey Clarie Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689582124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 19916 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fuey Clarie Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fuey Clarie Phan,
4411 Mountain Lakes Blvd,
Redding, CA 96003-1446

Ph: (530) 245-7900		Fuey Clarie Phan,
4620 Vallecito St,
Shasta Lake, CA 96019-9348

Ph: (530) 275-7020

Reviews and Comments



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