| Mark Ames | |
|
5431 Mayflower Ln Suite 2 Wasilla AK 99654-7817 | |
| (907) 376-9369 | |
| (907) 376-9363 |
| Full Name | Mark Ames |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 5431 Mayflower Ln, Wasilla, Alaska |
| Authorized Official Name and Position | Mark Ames (OWNER) |
| Authorized Official Contact | 9073769369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ames 5431 Mayflower Ln Suite 2 Wasilla AK 99654-7817 Ph: (907) 376-9369 | Mark Ames 5431 Mayflower Ln Suite 2 Wasilla AK 99654-7817 Ph: (907) 376-9369 |
| NPI Number | 1023128162 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023128162 | NPI | - | NPPES |
| NP07521 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 752 (Alaska) | Primary |
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