Individual
DR. KEITH A. YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7331 CLAIRBORNE DR, ANCHORAGE, AK 99502-7119
(907) 301-2992
(907) 222-5254
Mailing address
7331 CLAIRBORNE DR, ANCHORAGE, AK 99502-7119
(907) 301-2992
(907) 222-5254
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
461
AK
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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