NPI 1124803002 · live from the CMS NPI Registry
Bc Speech Therapy LLC
Speech-Language Pathologist, in Palmer, AK. National Provider Identifier 1124803002, active.
NPI record
| NPI | 1124803002 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 7200 E Jim Cottrell Circle, Palmer, AK 99645 |
| Practice phone | 907-982-3897 |
| Mailing address | Po Box 876106, Wasilla, AK 99687 |
| Enumerated | August 29, 2023 |
| Last updated | August 29, 2023 |
| Authorized official | Andrea Rapson, Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.