NPI 1407660590 · live from the CMS NPI Registry
Kristine Marie Hammargren
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1407660590, active.
NPI record
| NPI | 1407660590 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 102 10th Ave, Fairbanks, AK 99701 |
| Practice phone | 907-759-7697 |
| Mailing address | 190 Humboldt Way, Fairbanks, AK 99709 |
| Enumerated | February 6, 2025 |
| Last updated | February 6, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 234056 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.