NPI 1710599808 · live from the CMS NPI Registry
Abracadabra Speech LLC
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1710599808, active.
NPI record
| NPI | 1710599808 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 6823 Tudor Road, Anchorage, AK 99507 |
| Practice phone | 907-317-3727 |
| Mailing address | Po Box 231374, Anchorage, AK 99523 |
| Enumerated | August 19, 2020 |
| Last updated | August 19, 2020 |
| Authorized official | Shaaron Jackson, Speech Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.