| NPI | 1083004600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE NEVALDINE Authorized Official 907-277-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK AA0289) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |