Wellformed AI

NPI 1699109975 · live from the CMS NPI Registry

Kristen Leigh Debord, M.S., CCC-SLP

Speech-Language Pathologist, in Wrangell, AK. National Provider Identifier 1699109975, active.

NPI record

NPI1699109975 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location310 Bennett St., Wrangell, AK 99929
Practice phone907-874-7000
EnumeratedAugust 22, 2013
Last updatedSeptember 17, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000X— (NC)
Speech-Language Pathologist, primary235Z00000XSLPS539 (AK)

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