| NPI | 1144775768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SIMPSON Executive Director 907-561-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 113725) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |