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Contact Information

WENDELL STREET PSYCHIATRIC LLC
225 WENDELL ST
STE B
FAIRBANKS, AK99701-4835
 Phone: 907-455-4135
 Fax: 907-455-4115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WENDELL STREET PSYCHIATRIC LLC · (Female)

NPI Number 1568671766
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 08/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # 3921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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