Dr Elisa Youngblood, PHD is a
Psychologist - Clinical based in Ketchikan, Alaska. Dr Elisa Youngblood is licensed to practice in Alaska (license number 568) and her current practice location is
1162 Jackson St, Ketchikan, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 617-0169.
NPI number for Dr Elisa Youngblood is 1689703498 and her current mailing address is 1162 Jackson St, Ketchikan, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689703498.
Healthcare Provider's Profile
| Full Name | Dr Elisa Youngblood |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 1162 Jackson St, Ketchikan, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689703498
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 08/13/2013
Medical Identifiers
Medical identifiers for Dr Elisa Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689703498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 568 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elisa Youngblood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elisa Youngblood, PHD
1162 Jackson St,
Ketchikan, AK 99901-5771
Ph: (907) 617-0169 | Dr Elisa Youngblood, PHD
1162 Jackson St,
Ketchikan, AK 99901-5771
Ph: (907) 617-0169 |
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