| NPI | 1760925051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT BROWN Clinical Psychologist & Co Owner 907-799-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK PSYP663) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60255369) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: AK PSYP663) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY60255369) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AK PSYP663) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY60255369) | |
| 103TC0700X Psychologist, Clinical (Licence: AK PSYP663) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60255369) | |
| 103TC1900X Psychologist, Counseling (Licence: AK PSYP663) | |
| 103TC1900X Psychologist, Counseling (Licence: WA PY60255369) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AK PSYP663) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60255369) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: AK PSYP663) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WA PY60255369) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2024-04-24 |