NPI 1639412950

Shellie Irene Hickok

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

Practice location

Address: 6074 Doncaster Dr, Anchorage, AK 99504-3234
Phone: (907) 274-0060

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1639412950
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2013
Record last updated: 8 Apr 2013

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.