NPI 1386185551

Letitia Wyche

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 8440 Blackberry St, Anchorage, AK 99502-5327
Phone: (907) 360-2126
Mailing address: 7349 Branche Dr, Anchorage, AK 99518-2573

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 101185 (AK)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1386185551
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2017
Record last updated: 20 Mar 2017

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.