Individual
LISA FELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1840 SOUTH ITASCA CIRCLE, WASILLA, AK 99654
(907) 315-2111
Mailing address
PO BOX 872468, WASILLA, AK 99687-2468
(907) 315-2111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
97
AK
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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