Alaska Telemedicine Consultants INC

NPI #1811502859 in Willow, Alaska

Provider Information

NPI Number: 1811502859
Entity Type: Organization
Organization Name: Alaska Telemedicine Consultants INC
Primary Specialty: Psychologist
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 12461 GILEAD WAY
City: Willow
State: Alaska
ZIP Code: 99699
Phone: (907) 715-7391

Authorized Official

Name: HERBERT SCHWAGER, PH.D.
Title: DIRECTOR
Phone: (907) 715-7391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Psychologist	103T00000X	Primary

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