NPI 1720519663 · live from the CMS NPI Registry
Cecilia Chandler
Speech-Language Pathologist, in Ketchikan, AK. National Provider Identifier 1720519663, active.
NPI record
| NPI | 1720519663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 721 Stedman St, Ketchikan, AK 99901 |
| Practice phone | 907-225-7825 |
| Mailing address | 11 Lode Ln, Ketchikan, AK 99901 |
| Enumerated | March 22, 2017 |
| Last updated | March 22, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP024 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.