Paul Kenneth Akers, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Washougal, WA
NPI 1104149186 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1104149186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL00002813 (WA)
- Practice address
- 35570 SE Evergreen Hwy
Washougal, WA 98671-6738 - Phone
- (360) 607-3136
- Fax
- (360) 835-0992
- NPI assigned
- Mar 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00002813 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchmark at Fairway Village LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00002813 | WA | Yes |
Addresses
Primary practice location
35570 SE Evergreen Hwy
Washougal, WA 98671-6738
Mailing address
PO Box 870
Washougal, WA 98671-0870
Phone (360) 607-3136
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- Alyssa Allen
- Laura Jeane Allworth
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All providers in Washougal, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.