NPI 1659643146 · live from the CMS NPI Registry
Geraldine Benshoof
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1659643146, active.
NPI record
| NPI | 1659643146 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 398 Hamilton Ave, Fairbanks, AK 99701 |
| Practice phone | 907-374-4911 |
| Enumerated | January 31, 2012 |
| Last updated | January 31, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 46 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.