Individual
DR. EVELYN WISZINCKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
104 CENTER STREET, SUITE 202, KODIAK, AK 99615
(907) 486-0311
(907) 486-4006
Mailing address
104 CENTER STREET, SUITE 202, KODIAK, AK 99615
(907) 486-0311
(907) 486-4006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
204
AK
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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