NPI 1679041792 · live from the CMS NPI Registry
Angela Threeton Gasper, M.S. CCC-SLP
Speech-Language Pathologist, in Homer, AK. National Provider Identifier 1679041792, active.
NPI record
| NPI | 1679041792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3691 Ben Walters Ln Ste 4, Homer, AK 99603 |
| Practice phone | 907-235-6044 |
| Mailing address | 15300 Tiger Lewis Rd, Prairieville, LA 70769 |
| Enumerated | November 6, 2018 |
| Last updated | November 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 138918 (AK) |
| Speech-Language Pathologist, | 235Z00000X | 7234 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.