Birch Tree Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

207 Issued in AK

Legal business name

BIRCH TREE THERAPY, INC.

Practice address

591 N Knik St
Wasilla, AK 99654-7062

Phone

(907) 317-5209

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Renfro, M.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(907) 317-5209

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1154553360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAGLE ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012628",
            "telephone_number": "907-317-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547062",
            "telephone_number": "907-317-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH TREE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-317-5209",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.