Wellformed AI

NPI 1790647717 · live from the CMS NPI Registry

Gift Of Gab Speech Therapy, LLC

Speech-Language Pathologist, in Wasilla, AK. National Provider Identifier 1790647717, active.

NPI record

NPI1790647717 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location8032 W Aurora Heights Loop, Wasilla, AK 99654
Practice phone973-405-3927
Mailing addressPo Box 875299, Wasilla, AK 99687
EnumeratedNovember 28, 2025
Last updatedNovember 28, 2025
Authorized officialMichael Oliveira, Speech Language Pathologist

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X—

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