Individual
SAMANTHA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 LAUREL ST, ANCHORAGE, AK 99508-5334
(907) 302-4465
(907) 290-8525
Mailing address
4107 LAUREL ST, ANCHORAGE, AK 99508-5334
(907) 302-4465
(907) 290-8525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
172962
AK
Other
Enumeration date
07/21/2016
Last updated
04/04/2026
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