Individual
AMY HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 260-7444
Mailing address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA53
AK
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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