NPI 1871743799 · live from the CMS NPI Registry
Alaska Diversified Speech LLC
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1871743799, active.
NPI record
| NPI | 1871743799 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 201 E 54th Ave Ste 207, Anchorage, AK 99518 |
| Practice phone | 907-301-3396 |
| Enumerated | September 27, 2008 |
| Last updated | July 20, 2012 |
| Authorized official | Rebecca Hanson, Owner/Speech Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 242 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.