Individual
MS. GARY BONITA STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
5530 E NO LIGHTS, STE 16, ANCHORAGE, AK 99504-3135
(907) 742-4000
(907) 742-4001
Mailing address
3687 TAMPA RD STE 200, OLDSMAR, FL 34677-6313
(813) 792-3432
(866) 360-5916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01032786
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032786
CERTIFICATE OF CLINICAL COMPETENCE
AK
Enumeration date
08/05/2013
Last updated
08/05/2013
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