Asia Anya Backus M.S. CCC-SLP

NPI 1417222191 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1417222191
Gender Female
Enumeration Date 03/14/2012
Last Updated 03/14/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1506 S ONEIDA ST
APPLETON WI, 54915-1305, US
Phone (920) 738-2749
Fax (920) 738-2818
Business Location
1506 S ONEIDA ST
APPLETON WI, 54915-1305, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 3305154
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According to our database, Mrs. Asia Anya Backus M.S. CCC-SLP NPI is 1417222191, taxonomy code is 235Z00000X and license number is 3305154, license state is located at Wisconsin. Asia Anya Backus M.S. CCC-SLP physically located at 1506 S Oneida St, Appleton WI, 54915-1305. NPI Number Asia Anya Backus M.S. CCC-SLP has the Individual type.

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1417222191 NPI number is provided on an as is basis without warranty of any kind. 1417222191 is maintained by the National Plan & Provider Enumeration System. The contents of Asia Anya Backus M.S. CCC-SLP are for informational purposes only.