NPI 1710915152 · live from the CMS NPI Registry
Ava Brodie Craig, CCC-SLP
Speech-Language Pathologist, in Elmendorf Afb, AK. National Provider Identifier 1710915152, active.
NPI record
| NPI | 1710915152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5955 Zeamer Ave, 3msgs/Sgcun, Elmendorf Afb, AK 99506 |
| Practice phone | 907-580-5804 |
| Mailing address | 20634 Mountainside Dr, Eagle River, AK 99577 |
| Enumerated | June 28, 2006 |
| Last updated | February 17, 2009 |
| Sole proprietor | No |
| Other names | Ava Craig |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | S0539 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.