Organization · NPI-2
333 Psychological Management
Clinic/Center, Adult Mental Health · Palmer, AK
NPI number1851958748
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1851958748
- Entity type
- Organization (NPI-2)
- Legal business name
- 333 Psychological Management
- Organization subpart
- No
- Enumeration date
- May 25, 2019
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
634 S Bailey St Ste 104Palmer, AK 99645-6360
Phone 907-467-3337 · Fax 907-746-3336
Mailing address
634 S Bailey St Ste 104Palmer, AK 99645-6360
Phone 907-467-3337 · Fax 907-746-3336
Other practice locations
20434 N Granite Creek Ranch Rd
Sutton, AK 99674-9207
Sutton, AK 99674-9207
Phone 907-521-2888
Authorized official
Daniel G Davis
Psychologist
9075212888
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