| Psychological Services Group, Llc | |
|
670 W Fireweed Ln Ste 105 Anchorage AK 99503-2562 | |
| (907) 268-1572 | |
| (907) 865-2474 |
| Full Name | Psychological Services Group, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 670 W Fireweed Ln Ste 105, Anchorage, Alaska |
| Authorized Official Name and Position | Kara Stocker (PSYCHOLOGIST) |
| Authorized Official Contact | 5178192506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Group, Llc 670 W Fireweed Ln Ste 105 Anchorage AK 99503-2562 Ph: (907) 268-1572 | Psychological Services Group, Llc 670 W Fireweed Ln Ste 105 Anchorage AK 99503-2562 Ph: (907) 268-1572 |
| NPI Number | 1902303563 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 6709110810 |
|---|---|
| Medicare Enrollment ID | O20190624002565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902303563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 125197 (Alaska) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Kara Stocker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245542448 PECOS PAC ID: 0143504241 Enrollment ID: I20190624002703 |
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