Provider Demographics
NPI:1467609891
Name:CLADOUHOS, GRETA HELENE (MS CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:HELENE
Last Name:CLADOUHOS
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3401 E 42ND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5458
Mailing Address - Country:US
Mailing Address - Phone:907-244-2161
Mailing Address - Fax:907-519-0345
Practice Address - Street 1:3401 E 42ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5458
Practice Address - Country:US
Practice Address - Phone:907-244-2161
Practice Address - Fax:907-519-0345
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK23235Z00000X
AKSLPS287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1982096806Medicaid