Fuey Clarie Phan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19916 Issued in CA

Practice address

4620 Vallecito St
Shasta Lake, CA 96019-9348

Phone

(530) 275-7020

Fax

(530) 275-7025

NPI assigned

Aug 27, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1689582124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MOUNTAIN LAKES BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960031446",
            "telephone_number": "530-245-7900",
            "fax_number": "530-245-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 VALLECITO ST",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199348",
            "telephone_number": "530-275-7020",
            "fax_number": "530-275-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "FUEY",
        "middle_name": "CLARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Milan, LCSW
• Kathryn Jocelyn Nuss, CASII, NCACI
• Patrick O'Learly, MFT
• Osterman'S #3 Inc
• Lynn Painter, RDH
• Elaine Porter, MD
• Jennifer Lynn Ratliff, PT
• Redding Rancheria
• Gloria Richmond, LMFT
• Ronald G Chambers Inc

• Speech-Language Pathologist in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.