NPI 1235466749 · live from the CMS NPI Registry
Judith Ann Dyrenforth, Speech Pathologist
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1235466749, active.
NPI record
| NPI | 1235466749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 398 Hamilton Ave, Fairbanks, AK 99701 |
| Practice phone | 907-374-4911 |
| Enumerated | November 5, 2009 |
| Last updated | October 17, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SP-1944 (ME) |
| Speech-Language Pathologist, primary | 235Z00000X | 460 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.