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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