NPI 1306417498 · live from the CMS NPI Registry
Eleosa Chong
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1306417498, active.
NPI record
| NPI | 1306417498 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503 |
| Practice phone | 907-222-9905 |
| Mailing address | 2911 E 84th Ave, Anchorage, AK 99507 |
| Enumerated | July 8, 2021 |
| Last updated | July 8, 2021 |
| Sole proprietor | Yes |
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.