Organization
PSYCHOLOGICAL SERVICES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA STOCKER PSYD (NEUROPSYCHOLOGIST)
(907) 268-1572
Entity
Organization
Contact information
Practice address
707 A ST STE 115, ANCHORAGE, AK 99501-3600
(907) 268-1572
(907) 865-2474
Mailing address
707 A ST STE 115, ANCHORAGE, AK 99501-3600
(907) 268-1572
(907) 865-2474
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1682393
—
AK
Enumeration date
09/13/2019
Last updated
09/13/2019
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