Individual
KELLY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
17901 MOUNTAINSIDE VILLAGE DR, ANCHORAGE, AK 99516-5735
(907) 345-2892
Mailing address
17901 MOUNTAINSIDE VILLAGE DR, ANCHORAGE, AK 99516-5735
(907) 345-2892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
95
AK
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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