| NPI | 1982804068 |
|---|---|
| Doing Business As | SPEECH PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID A MORGAN Director Of Reimbursement 907-729-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: AK 20467) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-02-15 |