NPI 1720698129 · live from the CMS NPI Registry
Jessica M Bauman, SLP
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1720698129, active.
NPI record
| NPI | 1720698129 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3300 Providence Dr Ste B201, Anchorage, AK 99508 |
| Practice phone | 907-212-3116 |
| Mailing address | Po Box 4105, Portland, OR 97208 |
| Enumerated | July 31, 2020 |
| Last updated | July 31, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 128619 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.