| NPI | 1285177907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN C WALDRON Business Owner 907-947-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLP439) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |