NPI 1013358969 · live from the CMS NPI Registry
Heather E Eisenman, MS CCC-SLP
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1013358969, active.
NPI record
| NPI | 1013358969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1528 Bluegrass Dr, Fairbanks, AK 99709 |
| Practice phone | 707-364-2013 |
| Mailing address | Po Box 507, Ester, AK 99725 |
| Enumerated | July 8, 2013 |
| Last updated | April 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 12092554-4102 (UT) |
| Speech-Language Pathologist, | 235Z00000X | SLP.0004132 (CO) |
| Speech-Language Pathologist, | 235Z00000X | SP-2904 (NV) |
| Speech-Language Pathologist, primary | 235Z00000X | 335 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.