Alpine Relief Therapy Llc | |
12110 Business Blvd Ste 6 Eagle River AK 99577-7798 | |
(908) 619-5656 | |
Not Available |
Full Name | Alpine Relief Therapy Llc |
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Speciality | Psychologist |
Location | 12110 Business Blvd Ste 6, Eagle River, Alaska |
Authorized Official Name and Position | Erin L Iwamoto (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9072152501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alpine Relief Therapy Llc 12110 Business Blvd Ste 6 #109 Eagle River AK 99577-7798 Ph: (907) 215-2501 | Alpine Relief Therapy Llc 12110 Business Blvd Ste 6 Eagle River AK 99577-7798 Ph: (908) 619-5656 |
NPI Number | 1801549795 |
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Provider Enumeration Date | 01/31/2022 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Medicare PECOS PAC ID | 1456748060 |
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Medicare Enrollment ID | O20220429001309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801549795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
Provider Name | Erin Iwamoto |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912134156 PECOS PAC ID: 2264769736 Enrollment ID: I20220602001098 |
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