Individual
ADRIENNE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9870
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
178887
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG675
—
AK
Enumeration date
11/10/2010
Last updated
04/14/2022
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