| NPI | 1659777639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CHARD Speech Language Pathologist 907-727-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 1012567) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-03-31 |