Organization
ALASKA PREMIER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE ANN CHERNOFF MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(907) 512-0979
Entity
Organization
Contact information
Practice address
204 E REZANOF DR, LOWER #2, KODIAK, AK 99615-6379
(907) 512-0979
Mailing address
PO BOX 226, KODIAK, AK 99615-0226
(907) 512-0979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
131
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP16641
—
AK
05
—
SP16642
—
AK
Enumeration date
08/05/2008
Last updated
08/05/2008
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