Julie Anne Friedli, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Eagle River, AK

NPI 1194199836 · NPPES record last updated Jan 6, 2016

Key facts

NPI
1194199836
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
102978 (AK)
Practice address
11901 Business Blvd Ste 209
Eagle River, AK 99577-7701
Phone
(907) 694-6002
Fax
(907) 694-6017
NPI assigned
Nov 18, 2015
Sex
Female
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
102978AKMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102978 AK Yes

Addresses

Primary practice location

11901 Business Blvd Ste 209
Eagle River, AK 99577-7701

Mailing address

20434 Williamsburg Dr
Eagle River, AK 99577-7117
Phone (907) 696-4038

Other providers in Eagle River, AK

All providers in Eagle River, AK · Speech-Language Pathologist in Alaska

Sources for this page

Verify at the official NPI Registry.