Individual
TAWNY NESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12741 TANADA LOOP, ANCHORAGE, AK 99515-3825
(913) 309-7973
Mailing address
12741 TANADA LOOP, ANCHORAGE, AK 99515-3825
(913) 309-7973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
135737
AK
235Z00000X
Speech-Language Pathologist
2017029118
MO
Other
Enumeration date
04/08/2016
Last updated
09/17/2020
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