NPI 1083802425 · live from the CMS NPI Registry
Tonya Lynn Buczkowski, M.S., CCC-SLP
Speech-Language Pathologist, in Eagle River, AK. National Provider Identifier 1083802425, active.
NPI record
| NPI | 1083802425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 9001 Andy Cir, Eagle River, AK 99577 |
| Practice phone | 907-694-4806 |
| Mailing address | Po Box 770913, Eagle River, AK 99577 |
| Enumerated | October 10, 2007 |
| Last updated | October 10, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 87 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.