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SPEECH PATHOLOGY ENRICHMENT LANGUAGE & LITERACY CLINIC NPI 1801129994


NPI Information

NPI: 1801129994
Provider Name: SPEECH PATHOLOGY ENRICHMENT LANGUAGE & LITERACY CLINIC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
4050 LAKE OTIS PKWY
SUITE 204-C
ANCHORAGE, AK
ZIP 99508
Phone: (907) 336-7323
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SPEECH PATHOLOGY ENRICHMENT LANGUAGE & LITERACY CLINIC is a speech language pathologist in Anchorage, AK. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SPEECH PATHOLOGY ENRICHMENT LANGUAGE & LITERACY CLINIC NPI is 1801129994. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4050 LAKE OTIS PKWY
SUITE 204-C
ANCHORAGE, AK
ZIP 99508-223
Phone: (907) 336-7323
Fax: (907) 277-7355

The provider's authorized official is Christene G Gravley .
The authorized official title is Owner and has the following contact phone number (907) 336-7323.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 9/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist239ALASKANo
2235Z00000XSpeech-Language Pathologist90ALASKANo
3235Z00000XSpeech-Language Pathologist285ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SP6595MEDICAIDALASKA
2SP5061MEDICAIDALASKA
3SP0003MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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