| Northern Psychology Resources Llc | |
|
47294 Progress Ct Ste C Soldotna AK 99669-8329 | |
| (907) 262-4470 | |
| (907) 262-4469 |
| Full Name | Northern Psychology Resources Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 47294 Progress Ct Ste C, Soldotna, Alaska |
| Authorized Official Name and Position | Jacqueline Dawn Bock (OWNER) |
| Authorized Official Contact | 9072624470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Psychology Resources Llc 47294 Progress Ct Ste C Soldotna AK 99669-8329 Ph: (907) 262-4470 | Northern Psychology Resources Llc 47294 Progress Ct Ste C Soldotna AK 99669-8329 Ph: (907) 262-4470 |
| NPI Number | 1124640024 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124640024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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