Individual
DIANE POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/A
Contact information
Practice address
16643 YELLOWSTONE CIR, EAGLE RIVER, AK 99577-9407
(907) 276-5055
Mailing address
16643 YELLOWSTONE CIR, EAGLE RIVER, AK 99577-9407
(907) 276-5055
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
SP0194
AK
Other
Enumeration date
08/05/2006
Last updated
09/11/2025
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