Individual
MRS. TONYA LYNN BUCZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9001 ANDY CIR, EAGLE RIVER, AK 99577-8577
(907) 694-4806
Mailing address
PO BOX 770913, EAGLE RIVER, AK 99577-0913
(907) 694-4806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
87
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP6561
—
AK
Enumeration date
10/10/2007
Last updated
10/10/2007
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