NPI 1023128162

Psychiatric & Counseling Services

Organisation Clinical Child & Adolescent Psychologist Wasilla, AK

Practice location

Address: 5431 Mayflower Ln Suite 2, Wasilla, AK 99654-7817
Phone: (907) 376-9369
Fax: (907) 376-9363

Authorised official

Name: Mark Ames
Title: Owner
Phone: (907) 376-9369

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 752 (AK)

Other Psychologist providers in Alaska →

Registry record

NPI: 1023128162
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.