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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801129994 | NPPES |
| Alaska | MEDICAID | SP0003 | |
| Alaska | MEDICAID | SP5061 | |
| Alaska | MEDICAID | SP6595 |
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