| NPI | 1023128162 |
|---|---|
| Other Name | MARK AMES |
| Entity Type | Organization |
| Authorized Contact | MARK AMES Owner 907-376-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AK 752) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |