NPI 1154553360 · live from the CMS NPI Registry
Birch Tree Therapy, INC.
Speech-Language Pathologist, in Wasilla, AK. National Provider Identifier 1154553360, active.
NPI record
| NPI | 1154553360 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 591 N Knik St, Wasilla, AK 99654 |
| Practice phone | 907-317-5209 |
| Mailing address | 305 Eagle St, Anchorage, AK 99501 |
| Enumerated | August 20, 2009 |
| Last updated | August 20, 2009 |
| Authorized official | Sarah Renfro, Speech Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 207 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.