Individual
BEVERLY RANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
225 FRONT ST, JUNEAU, AK 99801-1244
(907) 364-4565
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
206221
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747834
—
AK
01
—
206221
STATE OF ALASKA
AK
Enumeration date
08/20/2016
Last updated
12/04/2024
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