NPI 1164867115 · live from the CMS NPI Registry
Communicating Meaningful Messages
Speech-Language Pathologist, in Soldotna, AK. National Provider Identifier 1164867115, active.
NPI record
| NPI | 1164867115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 37041 Rafie St, Soldotna, AK 99669 |
| Practice phone | 907-252-1567 |
| Enumerated | May 3, 2013 |
| Last updated | May 3, 2013 |
| Authorized official | Cecilia Deatherage, Owner |
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.