Individual
OLIVIA SUZANNE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
12032 BUSINESS BLVD STE A, EAGLE RIVER, AK 99577-7725
(907) 290-9595
(800) 645-2157
Mailing address
12032 BUSINESS BLVD STE A, EAGLE RIVER, AK 99577-7725
(907) 290-9595
(800) 645-2157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
238964
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238964
STATE OF ALASKA
AK
Enumeration date
06/10/2025
Last updated
06/10/2025
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