FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES LLC NPI 1972987998

NPI Information

FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC is a prescribing (medical) psychologist in Fairbanks, AK. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC NPI is 1972987998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-530
Phone: (907) 371-1300
Fax: (907) 770-8917

The provider's authorized official is Amy Morrow .
The authorized official title is Billing Manager and has the following contact phone number (907) 762-2820.

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/20/2015.

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:

Other Identifiers

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