Geraldine Benshoof
Individual provider Active NPI Speech-Language Pathologist · Fairbanks, AK
NPI 1659643146 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1659643146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 46 (AK)
- Practice address
- 398 Hamilton Ave
Fairbanks, AK 99701-3537 - Phone
- (907) 374-4911
- Fax
- (907) 374-4934
- NPI assigned
- Jan 31, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46 | AK | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46 | AK | Yes |
Addresses
Primary practice location
398 Hamilton Ave
Fairbanks, AK 99701-3537
Mailing address
398 Hamilton Ave
Fairbanks, AK 99701-3537
Phone (907) 374-4911
Other providers in Fairbanks, AK
- Kathleen Ann Bellant
- Cynthia Lu Belle Kelley
- D'Angelo Belton
- Julia Grace Benedict
- Emma Claire Benjamin
- Deborah Benson
- Frank Donald Berardi
- Wendy Berg
- Wyatt Berg
- Patricia L. Bergdahl
All providers in Fairbanks, 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 Jan 31, 2012. 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.