Organization
CAPABLE KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BURCH CCC-SLP (CEO)
(907) 334-9002
Entity
Organization
Contact information
Practice address
600 W 41ST AVE STE 103, ANCHORAGE, AK 99503-6601
(907) 334-9002
Mailing address
PO BOX 110448, ANCHORAGE, AK 99511-0448
(907) 334-9002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0171
—
AK
05
—
SP47561
—
AK
Enumeration date
04/12/2012
Last updated
04/12/2012
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