Basic Information
| Provider Information | |||||||||
| NPI: | 1144744376 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEBSTER | ||||||||
| FirstName: | ANNA | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7020 HARMON CT | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462277850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176074755 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2905 CONNELLY AVE | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982258225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607344181 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2017 | ||||||||
| LastUpdateDate: | 07/30/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.