Individual
DR. KATRINA ANNE RAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
3406 ALDER AVE, FT. WAINWRIGHT, AK 99783-0001
(907) 353-4126
Mailing address
708 SUNCREST DR, FAIRBANKS, AK 99712-2663
(907) 353-4126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
133381
AK
Other
Enumeration date
12/30/2019
Last updated
09/22/2020
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