Individual
DR. JOHN MICHAEL WORRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
Mailing address
PO BOX 70485, FAIRBANKS, AK 99707-0485
(907) 750-2988
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
103142
AK
Other
Enumeration date
01/27/2012
Last updated
09/09/2015
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