Individual
DANIELLE WELLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
18008 KAMKOFF AVE, EAGLE RIVER, AK 99577-9323
(907) 854-6935
Mailing address
PO BOX 770495, EAGLE RIVER, AK 99577-0495
(907) 854-6935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
399
AK
235Z00000X
Speech-Language Pathologist
SLP2148
AZ
Other
Enumeration date
11/06/2007
Last updated
06/14/2016
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