Organization Name: | ACCA, INC |
NPI Number: | 1740532985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN KESSLER (EXECUTIVE DIRECTOR) |
Mailing Address: | 1020 Barnette St Fairbanks |
State: | AK US |
Postal Code: | 997014502 |
Phone Number: | 9074564003 |
Fax Number: | 9074566124 |
NPI Enumeration Date: | 10/12/2012 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 59 |
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 |