Alaska Speech & Hearing Clinic LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7673 Issued in AK

Legal business name

ALASKA SPEECH & HEARING CLINIC LLC

Practice address

2401 E 42ND Ave
#101
Anchorage, AK 99508-5391

Phone

(907) 562-4550

Fax

(907) 562-4554

NPI assigned

Nov 4, 2007

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa M Owens, AUD

Title

Director

Phone

(907) 562-4550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lisa M Owens Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1982884235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "#101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085391",
            "telephone_number": "907-562-4550",
            "fax_number": "907-562-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "#101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085391",
            "telephone_number": "907-562-4550",
            "fax_number": "907-562-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA SPEECH & HEARING CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-562-4550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SP7673",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AK",
            "license": "AU7673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU 7673",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP7673",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa M Owens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.