# ALASKA SPEECH AND HEARING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447377312
- **Authorized official:** MISS DESTINY RENAE RICE MOT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (907) 562-4550

## Contact information

- **Practice address:** 4048 LAUREL ST, SUITE 303, ANCHORAGE, AK 99508-5333
- **Practice address phone:** (907) 562-4550
- **Practice address fax:** (907) 562-4554
- **Mailing address:** 12226 BRECKENRIDGE DR, EAGLE RIVER, AK 99577-7656
- **Mailing address phone:** (907) 696-8549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 1813 | AK | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 06/12/2008