Individual
DR. THERESA STACY KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 842-1230
(907) 842-5174
Mailing address
6000 KANAKANAK ROAD, PO BOX 130, DILLINGHAM, AK 99576
(907) 842-1230
(907) 842-5174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00000LICENSE ELIGIBL
MS
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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