Emma Naomi Boswell, M.A., CCC-SLP

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

NPI 1487098778 · NPPES record last updated Apr 17, 2013

Key facts

NPI
1487098778
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
422 (AK)
Practice address
12836 Old Glenn Hwy
Eagle River, AK 99577-7041
Phone
(907) 726-5330
Fax
(907) 726-5366
NPI assigned
Apr 17, 2013
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
422AKMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 422 AK Yes

Addresses

Primary practice location

12836 Old Glenn Hwy
Eagle River, AK 99577-7041

Mailing address

12836 Old Glenn Hwy
Eagle River, AK 99577-7041
Phone (907) 726-5330

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.