NPI 1285177907 · live from the CMS NPI Registry
Bluegrass Speech Pathology Services
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1285177907, active.
NPI record
| NPI | 1285177907 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 9651 Buddy Werner Dr, Anchorage, AK 99507 |
| Practice phone | 907-947-3801 |
| Enumerated | November 29, 2016 |
| Last updated | November 29, 2016 |
| Authorized official | Ann Waldron, Business Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP439 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.