Organization · Type 2 NPI

Fairbanks Community Mental Health Services, LLC

Prescribing (Medical) Psychologist · Fairbanks, AK

NPI number 1972987998 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Fax (907) 770-8917

Mailing address

4020 Folker St
Anchorage, AK 99508-5321

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed
Rehabilitation Psychologist 103TR0400XNone listed

Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

178 other providers at this address

About NPI 1972987998

Fairbanks Community Mental Health Services, LLC's National Provider Identifier is 1972987998, issued on Jul 20, 2015. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 20, 2015.