Individual
CODY LELAND HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2081 TUDOR HILLS DR, ANCHORAGE, AK 99507-1643
(907) 575-6776
Mailing address
2081 TUDOR HILLS DR, ANCHORAGE, AK 99507-1643
(907) 575-6776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
536
AK
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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