Individual
JASON L. WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 452-8251
Mailing address
122 1ST AVE STE 106, FAIRBANKS, AK 99701-4871
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYP566
AK
Other
Enumeration date
11/13/2006
Last updated
01/16/2020
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