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MRS. TONYA LYNN BUCZKOWSKI M.S., CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1083802425
Individual Registrant:MRS. TONYA LYNN BUCZKOWSKI M.S., CCC-SLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
9001 ANDY CIR EAGLE RIVER, AK 99577-8577 US
Tel: 907-694-4806 Fax: --
Tel: 907-694-4806 Fax: --
Contact information for business:
PO BOX 770913 EAGLE RIVER, AK 99577-0913 US
Tel: 907-694-4806 Fax: --
Tel: 907-694-4806 Fax: --
Registration Information:
NPI: 1083802425
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AK | 87 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| SP6561 | AK | 05 |
