NPI 1083756357 · live from the CMS NPI Registry
Amber Leigh Ellis, M.S., CCC-SLP
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1083756357, active.
NPI record
| NPI | 1083756357 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3300 Providence Dr Ste B302, Anchorage, AK 99508 |
| Practice phone | 907-212-4042 |
| Mailing address | Po Box 4105, Portland, OR 97208 |
| Enumerated | February 13, 2007 |
| Last updated | July 13, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 195599 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.