Organization
AK DIRECT SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE TYRELL (OWNER)
(860) 617-7719
Entity
Organization
Contact information
Practice address
3401 E 42ND AVE, SUITE 201, ANCHORAGE, AK 99508-5458
(907) 868-2753
(907) 868-1410
Mailing address
PO BOX 140312, ANCHORAGE, AK 99514-0312
(907) 868-2753
(907) 868-1410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPS443
AK
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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