NPI 1053786582 · live from the CMS NPI Registry
Kelly Brewer, MS,CCC/SLP
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1053786582, active.
NPI record
| NPI | 1053786582 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3211 Starboard Ln, Anchorage, AK 99516 |
| Practice phone | 907-223-7249 |
| Enumerated | December 9, 2015 |
| Last updated | December 9, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 1479 (HI) |
| Speech-Language Pathologist, primary | 235Z00000X | SLPS7 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.