Organization
ALASKA DIVERSIFIED SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MAE HANSON MA/CCC SLP (OWNER/SPEECH THERAPIST)
(907) 301-3396
Entity
Organization
Contact information
Practice address
201 E 54TH AVE STE 207, ANCHORAGE, AK 99518-1202
(907) 301-3396
(907) 561-3522
Mailing address
201 E 54TH AVE STE 207, ANCHORAGE, AK 99518-1202
(907) 301-3396
(907) 561-3522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP8687
—
AK
Enumeration date
09/27/2008
Last updated
07/20/2012
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