| NPI | 1649888298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JAMES MCCONNELL Licensed Psychologist//Owner 907-201-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-09-16 |