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Contact Information

CHRIS CAVANAUGH, PHD
2600 DENALI ST STE 450
ANCHORAGE, AK99503-2754
 Phone: 907-561-0552
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CHRIS CAVANAUGH · (Male)

NPI Number 1184017055
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/16/2015
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 148339
  • AK License # 911
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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