NPI 1639744246 · live from the CMS NPI Registry
Elizabeth Anne Commissaris
Speech-Language Pathologist, in Eagle River, AK. National Provider Identifier 1639744246, active.
NPI record
| NPI | 1639744246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 12812 Old Glenn Hwy Ste B2, Eagle River, AK 99577 |
| Practice phone | 907-290-9595 |
| Mailing address | 1841 S Itasca Cir, Wasilla, AK 99654 |
| Enumerated | May 25, 2021 |
| Last updated | May 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 177779 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.