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MRS. TONYA LYNN BUCZKOWSKI M.S., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1083802425

Individual Registrant:
MRS. TONYA LYNN BUCZKOWSKI M.S., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
9001 ANDY CIR  EAGLE RIVER, AK 99577-8577 US
Tel: 907-694-4806  Fax: --

Contact information for business:
PO BOX 770913  EAGLE RIVER, AK 99577-0913 US
Tel: 907-694-4806  Fax: --

Registration Information:
NPI: 1083802425
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AK87

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SP6561AK05




HEALTH CARE JOBS AK - Page 1



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