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NPI 1689960684 · live from the CMS NPI Registry

Jennifer Faggert

Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1689960684, active.

NPI record

NPI1689960684 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location8200 Homer Dr, Suite F, Anchorage, AK 99518
Practice phone907-345-0050
Mailing address2176 E 56th Ave, Apt. N101, Anchorage, AK 99507
EnumeratedJune 28, 2011
Last updatedJune 28, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X44 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.