Organization
PROGRAMS FOR INFANTS AND CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SIMPSON (EXECUTIVE DIRECTOR)
(907) 561-8060
Entity
Organization
Contact information
Practice address
161 KLEVIN ST STE 103, ANCHORAGE, AK 99508-1508
(907) 550-3047
Mailing address
161 KLEVIN ST STE 103, ANCHORAGE, AK 99508-1508
(907) 550-3047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113725
AK
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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