Individual
MCKENNA WALL-DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Mailing address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
112765
AK
235Z00000X
Speech-Language Pathologist
185570
AK
235Z00000X
Speech-Language Pathologist
Primary
202508
AK
Other
Enumeration date
07/07/2016
Last updated
12/02/2022
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