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Organization

ALASKA SPEECH & HEARING CLINIC LLC

Active
Other names
Lisa M Owens
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA M OWENS AUD (DIRECTOR)
(907) 562-4550
Entity
Organization

Contact information

Practice address
2401 E 42ND AVE, #101, ANCHORAGE, AK 99508-5391
(907) 562-4550
(907) 562-4554
Mailing address
2401 E 42ND AVE, #101, ANCHORAGE, AK 99508-5391
(907) 562-4550
(907) 562-4554

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7673
AK
237600000X
Audiologist-Hearing Aid Fitter
AU7673
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU 7673
AK
05
SP7673
AK
Enumeration date
11/04/2007
Last updated
06/26/2008
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