NPI 1639312010 · live from the CMS NPI Registry
Tina Clumpner, M.S., CCC-SLP
Speech-Language Pathologist, in Kodiak, AK. National Provider Identifier 1639312010, active.
NPI record
| NPI | 1639312010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 104 Center Ave, Suite 200, Kodiak, AK 99615 |
| Practice phone | 907-512-0979 |
| Mailing address | Po Box 568, Kodiak, AK 99615 |
| Enumerated | April 14, 2009 |
| Last updated | August 18, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP S 270 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.