Organization Name: | ANCHORAGE SPEECH BEYOND THE WALLS |
NPI Number: | 1659777639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN CHARD (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 2150 E Dowling Rd Ste C Anchorage |
State: | AK US |
Postal Code: | 995071979 |
Phone Number: | 9077275557 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2014 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1012567 |
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 |