| Doctor Name: | KELLY STARUCH |
| NPI Number: | 1760895072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9691 |
| Business Practice Address: | 110 W 38th Ave Suite 4a Anchorage, AK - 995035677 |
| Business Phone Number: | 9075611478 |
| Business Fax Number: | |
| Mailing Address: | 110 W 38th Ave, Suite 4a ANCHORAGE |
| State: | AK |
| Postal Code: | 995035677 |
| Phone Number: | 9075611478 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2014 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 9691 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| 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 |