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Individual

TANIESH AMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-8880
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-3300
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
184612
AK
103TC0700X
Clinical Psychologist
Primary
184612
AK
103TC2200X
Clinical Child & Adolescent Psychologist
184612
AK

Other

Enumeration date
02/16/2022
Last updated
07/25/2025
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