Kelly Becker, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Anchorage, AK
NPI 1356641997 · NPPES record last updated Oct 29, 2010
Key facts
- NPI
- 1356641997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 95 (AK)
- Practice address
- 17901 Mountainside Village Dr
Anchorage, AK 99516-5735 - Phone
- (907) 345-2892
- NPI assigned
- Oct 29, 2010
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95 | AK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 95 | AK | Yes |
Addresses
Primary practice location
17901 Mountainside Village Dr
Anchorage, AK 99516-5735
Mailing address
17901 Mountainside Village Dr
Anchorage, AK 99516-5735
Phone (907) 345-2892
Other providers in Anchorage, AK
- Marc Richard Beck
- Sarah C Beck
- Valerie Renee Beck
- Bethany Lynn Becker
- Josiah P Becker
- Paul Andrew Becker
- Susan Becker
- Noreen Beckett
- Jared Scott Becknell
- Katie Kristine Beckwith
All providers in Anchorage, 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 Oct 29, 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.