Individual
DR. MARJORIE TERESA KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4982 ZUKERT AVE, RM 126, JBER, AK 99505
(907) 580-0715
(907) 580-0629
Mailing address
3705 ARCTIC BLVD # 406, ANCHORAGE, AK 99503-5774
(607) 230-2190
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
628
AK
103TC2200X
Clinical Child & Adolescent Psychologist
31369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1724726
—
TX
01
—
628
BOARD OF PSYCHOLOGIST
AK
Enumeration date
06/12/2006
Last updated
10/22/2019
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