Organization
CONNECT SPEECH & LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SAMUEL M.S., CCC-SLP (OWNER/MANAGING MEMBER)
(907) 887-6181
Entity
Organization
Contact information
Practice address
1803 KEPNER DR., ANCHORAGE, AK 99504-3061
(907) 887-6181
(844) 975-1181
Mailing address
P.O. BOX 110145, ANCHORAGE, AK 99511-0145
(907) 887-6181
(844) 975-1181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707800
—
AK
Enumeration date
03/13/2020
Last updated
02/10/2022
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