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Individual

GERALD L ALATELO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
4105 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5902
(907) 565-4000
(907) 565-4011
Mailing address
4105 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5902
(907) 565-4000
(907) 565-4011

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
438
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH6578
AK
Enumeration date
06/18/2006
Last updated
07/09/2007
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