NPI 1992296131 · live from the CMS NPI Registry
Emilee Rose Bydlon, M.S. CCC-SLP
Speech-Language Pathologist, in Eagle River, AK. National Provider Identifier 1992296131, active.
NPI record
| NPI | 1992296131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 11901 Business Blvd Ste 209, Eagle River, AK 99577 |
| Practice phone | 907-694-6002 |
| Mailing address | 18921 Andreanof Dr, Eagle River, AK 99577 |
| Enumerated | May 23, 2018 |
| Last updated | January 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 156730 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.