NPI 1851368245 · live from the CMS NPI Registry
Charlotte Anne Cannon, CCC SLP
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1851368245, active.
NPI record
| NPI | 1851368245 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1327 Kalakaket Street, Fairbanks, AK 99709 |
| Practice phone | 907-452-4517 |
| Mailing address | 666 11th Ave, Apt #202, Fairbanks, AK 99701 |
| Enumerated | March 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 11 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.