Organization
GREEN PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KERST PH.D. (OWNER)
(907) 631-2807
Entity
Organization
Contact information
Practice address
634 S BAILEY ST, 106, PALMER, AK 99645-6360
(907) 631-2807
Mailing address
634 S BAILEY ST, 106, PALMER, AK 99645-6360
(907) 631-2807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
112983
AK
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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