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NPI 1861114878 · live from the CMS NPI Registry

Shannon Dole, MS, CCC-SLP

Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1861114878, active.

NPI record

NPI1861114878 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location2500 Abbott Rd, Anchorage, AK 99507
Practice phone907-301-4588
Mailing address1518 Wolverine St, Anchorage, AK 99504
EnumeratedSeptember 15, 2022
Last updatedOctober 19, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X14242977

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