Pamela P Christianson
Individual provider Active NPI Speech-Language Pathologist · Ketchikan, AK
NPI 1134738313 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1134738313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLPS25 (AK)
- Practice address
- 364 Edmonds St
Ketchikan, AK 99901-6402 - Phone
- (907) 225-1259
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPS25 | AK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SLPS25 | AK | Yes |
Addresses
Primary practice location
364 Edmonds St
Ketchikan, AK 99901-6402
Mailing address
364 Edmonds St
Ketchikan, AK 99901-6402
Phone (907) 225-1259
Other providers in Ketchikan, AK
- Kelly M Chick
- Alan L Christensen
- Barry Delano Christensen
- Sonja Christensen
- Erik D Christianson
- Ariel Elizabeth Christopher
- Anthonny Ramiero Chulik
- Elysse Cillay
- City of Ketchikan
- City of Ketchikan-Gateway Center for Human Services
All providers in Ketchikan, AK · Speech-Language Pathologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. 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.