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Contact Information

BABA SY
3760 W 74TH AVE
ANCHORAGE, AK99502-2862
 Phone: 907-350-0061
 Fax: 907-868-1592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chore Provider

372500000X
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BABA SY · (Male)

NPI Number 1417389511
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2013
Last updated 07/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 978570
  • AK Medicaid 1417389511
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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