NPI 1063288348
Summit Therapy LLC
Practice location
- Address
- 250 Cushman St STE 4f, Fairbanks, AK 99701-4665
- Phone
- (907) 978-1943
- Fax
- (360) 838-4806
- Mailing address
- 700 Sleater Kinney Rd SE STE B189, Lacey, WA 98503-1150
Authorised official
- Name
- Carrie L Miniard
- Title
- Social Worker
- Phone
- (907) 978-1943
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1063288348
- Entity type
- Organization
- NPI issued
- 28 Nov 2023
- Record last updated
- 7 Nov 2024
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.