Organization Name: | K-BEACH SPEECH, LLC |
NPI Number: | 1932523396 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNAROSE NOELLE MILLER (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 36484 Meandering Rd Soldotna |
State: | AK US |
Postal Code: | 996696202 |
Phone Number: | 9072526465 |
Fax Number: | 9072604166 |
NPI Enumeration Date: | 02/05/2014 |
NPI Last Update Date: | 02/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 346 |
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 |