| NPI | 1457621914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA LOGAN Owner/ Office Manager 907-745-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AK 121536) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 274751) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2024-04-24 |