Individual
DR. ELLEN J HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2250 S WOODWORTH LOOP STE 202, PALMER, AK 99645-7457
(907) 921-5050
Mailing address
PO BOX 31001-4162, PASADENA, CA 91110-4162
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4152
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010614
—
AK
Enumeration date
07/14/2006
Last updated
02/25/2026
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