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Individual

CLAUDIA BERENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHILD PSYCHIATRIST

Contact information

Practice address
4001 DALE ST STE 101, ANCHORAGE, AK 99508-5444
(907) 550-2315
Mailing address
PO BOX 196276, ANCHORAGE, AK 99519-6276
(907) 550-2315

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
152189-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5439
AK
2084P0804X
Child & Adolescent Psychiatry Physician
90-153
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD3093
AK
Enumeration date
07/28/2005
Last updated
07/08/2007
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