Individual
KEVIN ALEXANDER STICKNEY HALVORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3135 DELTA DR, ANCHORAGE, AK 99502-4449
(907) 952-8158
Mailing address
3135 DELTA DR, ANCHORAGE, AK 99502-4449
(907) 952-8158
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
208193
AK
103TC0700X
Clinical Psychologist
Primary
208193
AK
Other
Enumeration date
11/11/2021
Last updated
03/16/2026
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