Individual
DR. JESSICA DIONELA PETALIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7200
Mailing address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
216124
AK
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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