Individual
MS. VICKI JO SITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
110 S WILLOW ST, SUITE 108, KENAI, AK 99611-7744
(907) 283-4300
(907) 283-4362
Mailing address
PO BOX 3858, SOLDOTNA, AK 99669-3858
(907) 260-4752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
66
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP79851
—
AK
Enumeration date
02/14/2007
Last updated
07/08/2007
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