Active NPIIndividual providerSole proprietor

Anissa Khouri Drake, MA, CCC-SLP

Speech-Language Pathologist, in Seekonk, Massachusetts

NPI Number1114567328
Practice location
20 Bergeron St, Seekonk, MA 02771-4202
Fax
—
Last updated
January 15, 2020

Anissa Khouri Drake is a Speech-Language Pathologist, based in Seekonk, MA. Anissa Khouri Drake practices in Seekonk, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Anissa Khouri Drake is 1114567328 and holds a License No. 77424 (MA). The current practice location address for Anissa Khouri Drake is 20 Bergeron St, Seekonk, MA 02771-4202 and can be reached out via phone at 401-258-7873.

Provider Profile Details

NPI Number
1114567328
Provider Name
Anissa Khouri Drake
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
20 Bergeron St, Seekonk, MA 02771-4202
Phone Number
401-258-7873
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2020
Last Update Date
January 15, 2020
Certification Date
January 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Bergeron St
Seekonk, MA 02771-4202
Zip
02771-4202
Phone Number
401-258-7873
Seekonk, MA 02771Get directions →

Provider Business Mailing Address Details

Address
20 Bergeron St
Seekonk, MA 02771-4202
City
Seekonk
State
MA
Zip
02771-4202
Phone Number
401-258-7873

License Information

License Number
77424
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anissa Khouri Drake, MA, CCC-SLP?

The NPI number of Anissa Khouri Drake, MA, CCC-SLP is 1114567328. It was assigned on January 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Anissa Khouri Drake, MA, CCC-SLP?

Anissa Khouri Drake, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77424.

Where does Anissa Khouri Drake, MA, CCC-SLP practice?

The practice location is 20 Bergeron St, Seekonk, MA 02771-4202. The office can be reached at 401-258-7873 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114567328 directly on the NPPES registry website.

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