Speech Pathology Enrichment Language & Literacy Clinic

LBN: Speech Pathology Enrichment Language & Literacy Clinic
Speech Pathology Enrichment Language & Literacy Clinic is an health care organization with primary practice located at 4050 Lake Otis Pkwy Suite 204-C, Anchorage AK 99508-5223. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Speech Pathology Enrichment Language & Literacy Clinic can be contacted via phone (907) 336-7323, or through Gravley, Christene G via phone (907) 336-7323.

Contact Information

Primary practice address
4050 Lake Otis Pkwy Suite 204-C Anchorage AK 99508-5223
Phone: (907) 336-7323
Fax: (907) 277-7355
Website:
Map and Directions
Authorized official contact:
Name: Gravley, Christene G M.S., CCC-SLP
Phone: (907) 336-7323

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 285 Alaska
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 239 Alaska
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 90 Alaska

Profile Details

NPI number 1801129994
LBN Legal business name Speech Pathology Enrichment Language & Literacy Clinic
DBA Doing business as
Authorized official Gravley, Christene G M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2009
Last updated Sep 8th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801129994 NPPES
Alaska MEDICAID SP0003
Alaska MEDICAID SP5061
Alaska MEDICAID SP6595

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