NPI 1790473700 · live from the CMS NPI Registry
Eisenman Speech Therapy, LLC
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1790473700, active.
NPI record
| NPI | 1790473700 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1305 21st Ave Ste 204, Fairbanks, AK 99701 |
| Practice phone | 907-621-7060 |
| Enumerated | April 27, 2023 |
| Last updated | July 2, 2025 |
| Authorized official | Heather Eisenman, Speech-Language Pathologist/Owner |
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.