| Intrepid Psychological Services Llc | |
|
925 E 46th Ct Apt 1 Anchorage AK 99503-7519 | |
| (907) 952-8158 | |
| Not Available |
| Full Name | Intrepid Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 925 E 46th Ct Apt 1, Anchorage, Alaska |
| Authorized Official Name and Position | Kevin Halvorsen (OWNER) |
| Authorized Official Contact | 9079528158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrepid Psychological Services Llc 925 E 46th Ct Apt 1 Anchorage AK 99503-7519 Ph: (907) 952-8158 | Intrepid Psychological Services Llc 925 E 46th Ct Apt 1 Anchorage AK 99503-7519 Ph: (907) 952-8158 |
| NPI Number | 1407670672 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407670672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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