Individual
AMBER HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
10928 EAGLE RIVER RD STE 104, EAGLE RIVER, AK 99577-8079
(907) 622-2122
(855) 368-5399
Mailing address
10928 EAGLE RIVER RD, EAGLE RIVER, AK 99577-8078
(907) 622-2122
(855) 368-5399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
74
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1675767
—
AK
Enumeration date
04/04/2014
Last updated
08/14/2019
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