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SCOTT ALEN KOTULAK BA IN PSYCHOLOGY NPI 1114571858


NPI Information

NPI: 1114571858
Provider Name: SCOTT ALEN KOTULAK, BA IN PSYCHOLOGY
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1650 BRAGAW ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 258-7575
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Scott Alen Kotulak, BA IN PSYCHOLOGY is a mental health (including community mental health center) clinic center in Anchorage, AK. Scott Alen Kotulak, BA IN PSYCHOLOGY NPI is 1114571858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 BRAGAW ST
ANCHORAGE, AK
ZIP 99508-435
Phone: (907) 258-7575

The enumeration date for this NPI number is 7/31/2019 and was last updated on 7/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.