NPI 1841586930 · live from the CMS NPI Registry
Lisa Feltz, M.A. CCC-SLP
Speech-Language Pathologist, in Wasilla, AK. National Provider Identifier 1841586930, active.
NPI record
| NPI | 1841586930 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1840 South Itasca Circle, Wasilla, AK 99654 |
| Practice phone | 907-315-2111 |
| Mailing address | Po Box 872468, Wasilla, AK 99687 |
| Enumerated | June 27, 2011 |
| Last updated | June 27, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 97 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.