| NPI | 1790851517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VAL MILLER Speech Language Pathologist 907-745-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 83) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |