NPI 1629130968 · live from the CMS NPI Registry
Christa Buckley, MS, CCC-SLP
Speech-Language Pathologist, in Soldotna, AK. National Provider Identifier 1629130968, active.
NPI record
| NPI | 1629130968 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 43335 K Beach Rd, Suite 32-A, Soldotna, AK 99669 |
| Practice phone | 907-262-5456 |
| Mailing address | 805 Sand Dollar Dr # 9, Kenai, AK 99611 |
| Enumerated | December 14, 2006 |
| Last updated | October 8, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 221 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.