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General NPI Number Information
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NPI Number | 1538011192
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Entity Type | Organization
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Legal Business Name | LIGHT ON SPEECH AND LITERACY LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 108 E ARCTIC AVE
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City | PALMER
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State | AK
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Zip | 99645-6254
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Country | US
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Telephone | 907-621-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 17005 E SMITH ROAD EXT
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City | PALMER
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State | AK
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Zip | 99645-8619
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Country | US
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Telephone | 775-315-2033
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | KRISTIN WETZEL
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Credential | MS, CCC-SLP
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Telephone | 907-621-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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