| NPI | 1477367530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA CARPENTER Speech Language Pathologist 907-942-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |