| Mark Holman Psychological Services, Llc | |
|
2401 E 42nd Ave Ste 306 Anchorage AK 99508-5228 | |
| (907) 280-7720 | |
| Not Available |
| Full Name | Mark Holman Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2401 E 42nd Ave Ste 306, Anchorage, Alaska |
| Authorized Official Name and Position | Mark V Holman (OWNER) |
| Authorized Official Contact | 9072807720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Holman Psychological Services, Llc 2401 E 42nd Ave Ste 306 Anchorage AK 99508-5228 Ph: (907) 280-7720 | Mark Holman Psychological Services, Llc 2401 E 42nd Ave Ste 306 Anchorage AK 99508-5228 Ph: (907) 280-7720 |
| NPI Number | 1508640558 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 1557716404 |
|---|---|
| Medicare Enrollment ID | O20231012000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508640558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark Holman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780809780 PECOS PAC ID: 5597895797 Enrollment ID: I20180327002143 |
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