Alaska Neuropsychological And Behavioral Health, Llc | |
600 University Ave Suite 2 B Fairbanks AK 99709-3651 | |
(907) 699-7524 | |
Not Available |
Full Name | Alaska Neuropsychological And Behavioral Health, Llc |
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Speciality | Community/Behavioral Health |
Location | 600 University Ave, Fairbanks, Alaska |
Authorized Official Name and Position | Paul Dukarm (OWNER/CLINICAL NEUROPSYCHOLOGIST) |
Authorized Official Contact | 9076997524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alaska Neuropsychological And Behavioral Health, Llc 600 University Ave Suite 2 B Fairbanks AK 99709-3651 Ph: (907) 699-7524 | Alaska Neuropsychological And Behavioral Health, Llc 600 University Ave Suite 2 B Fairbanks AK 99709-3651 Ph: (907) 699-7524 |
NPI Number | 1265863427 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 12/12/2013 |
Medicare PECOS PAC ID | 5193955821 |
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Medicare Enrollment ID | O20140225001957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265863427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (Alaska) | Primary |
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