NPI 1275152456

Tidal Bore Resource Center

Organisation Speech-Language Pathologist Anchorage, AK

Practice location

Address: 14251 Jarvi Dr, Anchorage, AK 99515-3945
Phone: (907) 782-8369
Mailing address: 2440 E Tudor Rd STE 240, Anchorage, AK 99507-1185

Authorised official

Name: Alicia Watson
Title: Founding Board Member
Phone: (907) 782-8369

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Alaska →

Registry record

NPI: 1275152456
Entity type: Organization
NPI issued: 8 Apr 2020
Record last updated: 8 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.