Provider Demographics
NPI:1740345974
Name:VER HOEF, ANNE LISA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:LISA
Last Name:VER HOEF
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 YUKON RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-6663
Mailing Address - Country:US
Mailing Address - Phone:907-345-4422
Mailing Address - Fax:907-345-4422
Practice Address - Street 1:5820 YUKON RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-6663
Practice Address - Country:US
Practice Address - Phone:907-345-4422
Practice Address - Fax:907-345-4422
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK19235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKSP0102Medicaid