Doctor Name: | NICHOLE LACHANCE |
NPI Number: | 1326100629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC |
License Number: | 90 |
Business Practice Address: | 4050 Lake Otis Pkwy Suite 204-c Anchorage, AK - 995085212 |
Business Phone Number: | 9073367323 |
Business Fax Number: | 9072777355 |
Mailing Address: | 4050 Lake Otis Pkwy, Suite 204-c ANCHORAGE |
State: | AK |
Postal Code: | 995085212 |
Phone Number: | 9073367323 |
Fax Number: | 9072777355 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 90 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |