Individual
BRIANNA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1231 NOBLE ST, FAIRBANKS, AK 99701-4926
(907) 415-9331
(907) 600-5065
Mailing address
PO BOX 72481, FAIRBANKS, AK 99707-2481
(907) 415-9331
(907) 600-5065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144948
AK
Other
Enumeration date
09/02/2015
Last updated
05/16/2024
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