Dave Anders

Individual provider Active NPI Speech-Language Pathologist · Ankeny, IA

NPI 1043488968 · NPPES record last updated Feb 14, 2008

Key facts

NPI
1043488968
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
01294 (IA)
Practice address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone
(515) 965-1339
Fax
(515) 964-0567
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01294IAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01294 IA Yes

Addresses

Primary practice location

715 SW Ankeny Rd
Ankeny, IA 50023-9798

Mailing address

715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 965-1339

Other providers in Ankeny, IA

All providers in Ankeny, IA · Speech-Language Pathologist in Iowa

Sources for this page

Verify at the official NPI Registry.