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NPI 1740532985 · live from the CMS NPI Registry

Acca, INC

Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1740532985, active.

NPI record

NPI1740532985 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1020 Barnette St, Fairbanks, AK 99701
Practice phone907-456-4003
EnumeratedOctober 12, 2012
Last updatedOctober 12, 2012
Authorized officialSusan Kessler, Executive Director
Other namesAlaska Center For Children And Adults

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X59 (AK)

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