NPI 1346051299 · live from the CMS NPI Registry
Holly Buller
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1346051299, active.
NPI record
| NPI | 1346051299 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3455 Rewak Dr Ste 103, Fairbanks, AK 99709 |
| Practice phone | 907-531-6919 |
| Mailing address | 1298 Richard Berry Dr, Fairbanks, AK 99709 |
| Enumerated | January 18, 2025 |
| Last updated | January 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 233554 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.