Wellformed AI

NPI 1194071241 · live from the CMS NPI Registry

Annie Dunnack, M.S. CCC-SLP

Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1194071241, active.

NPI record

NPI1194071241 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508
Practice phone860-617-7719
Mailing address5731 Radcliff Dr, Unit 1, Anchorage, AK 99504
EnumeratedJuly 26, 2012
Last updatedFebruary 10, 2014
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X443 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.