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102 10th Ave, Fairbanks, AK 99701-5003 | |
| (907) 759-7697 | |
| (907) 600-5065 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 102 10th Ave, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316678097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Brianna Dyami Bates |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518335983 PECOS PAC ID: 9133519952 Enrollment ID: I20211209000259 |
| Provider Name | Halah Alateeq |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265904932 PECOS PAC ID: 1254679467 Enrollment ID: I20240604002160 |
| Provider Name | Linsey R Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871239103 PECOS PAC ID: 5890234579 Enrollment ID: I20240826002788 |
| Mailing Address | Practice Location Address |
|---|---|
102 10th Ave, Fairbanks, AK 99701-5003 Ph: (907) 759-7697 | 102 10th Ave, Fairbanks, AK 99701-5003 Ph: (907) 759-7697 |
Mrs. Kathleen Forehand Hall, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1327 Kalakaket Street, Fairbanks, AK 99709 Phone: 907-452-4517 Fax: 907-452-4263 | |
Conversation Station Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 University Ave Ste 110, Fairbanks, AK 99709 Phone: 907-687-6309 | |
Ms. Heather E Eisenman, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1528 Bluegrass Dr, Fairbanks, AK 99709 Phone: 707-364-2013 | |
Kerry Rae Pippin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 1st Ave, Fairbanks, AK 99701 Phone: 907-347-6494 | |
David Jamison, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1327 Kalakaket St, Fairbanks, AK 99709 Phone: 907-452-4517 | |
Mrs. Melinda Alexandria Mihalich, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1327 Kalakaket Street, Fairbanks, AK 99709 Phone: 907-452-4517 Fax: 907-452-4263 | |
Mackenzee Heath, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 Chapman Ct, Fairbanks, AK 99709 Phone: 907-374-1686 Fax: 866-308-4995 |