Individual
ANGELA THREETON GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3691 BEN WALTERS LN STE 4, HOMER, AK 99603-7750
(907) 235-6044
(907) 235-2644
Mailing address
15300 TIGER LEWIS RD, PRAIRIEVILLE, LA 70769-6253
(985) 687-4719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
138918
AK
235Z00000X
Speech-Language Pathologist
7234
LA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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