Organization
FAR NORTH SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH MESQUITA BS, MA (OWNER)
(907) 764-8094
Entity
Organization
Contact information
Practice address
4141 B ST STE 202, ANCHORAGE, AK 99503-5940
(907) 764-8094
(844) 579-0084
Mailing address
201 E 54TH AVE STE 207, ANCHORAGE, AK 99518-1202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677453
—
AK
Enumeration date
10/27/2018
Last updated
09/18/2024
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