Christina Marie Akers, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Madison, WI
NPI 1659619203 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1659619203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3780-154 (WI)
- Practice address
- 1210 Fourier Dr
Suite #100
Madison, WI 53717-1969 - Phone
- (608) 662-9327
- Fax
- (608) 662-9041
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 3780-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Therapies of Delaware, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3780-154 | WI | Yes |
Addresses
Primary practice location
1210 Fourier Dr
Suite #100
Madison, WI 53717-1969
Mailing address
1210 Fourier Dr
Suite #100
Madison, WI 53717-1969
Phone (608) 662-9327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3780-154 | Other | WI | STATE LICENSE |
Other names
- Christina Marie Fasi
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All providers in Madison, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. 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.