Individual
LEENA M ONGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC A SLP
Contact information
Practice address
5201 E NORTHERN LIGHTS BLVD, UNIT 6-W, ANCHORAGE, AK 99508-4776
(907) 301-4272
(907) 301-4272
Mailing address
5201 E NORTHERN LIGHTS BLVD, UNIT 6, ANCHORAGE, AK 99508-4776
(907) 301-4272
(907) 729-1094
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A 35
AK
235Z00000X
Speech-Language Pathologist
S 49
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU78042
—
AK
05
—
SP78042
—
AK
Enumeration date
04/18/2007
Last updated
02/18/2011
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