| 333 Psychological Management | |
|
634 S Bailey St Ste 104 Palmer AK 99645-6360 | |
| (907) 467-3337 | |
| (907) 746-3336 |
| Full Name | 333 Psychological Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 634 S Bailey St Ste 104, Palmer, Alaska |
| Authorized Official Name and Position | Daniel G Davis (PSYCHOLOGIST) |
| Authorized Official Contact | 9075212888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 333 Psychological Management 634 S Bailey St Ste 104 Palmer AK 99645-6360 Ph: (907) 467-3337 | 333 Psychological Management 634 S Bailey St Ste 104 Palmer AK 99645-6360 Ph: (907) 467-3337 |
| NPI Number | 1851958748 |
|---|---|
| Provider Enumeration Date | 05/25/2019 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 1557697968 |
|---|---|
| Medicare Enrollment ID | O20190723002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851958748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daniel G Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376825133 PECOS PAC ID: 3779825500 Enrollment ID: I20190426002319 |
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