| Green Psychological Services, Llc | |
|
634 S Bailey St 106 Palmer AK 99645-6360 | |
| (907) 631-2807 | |
| Not Available |
| Full Name | Green Psychological Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 634 S Bailey St, Palmer, Alaska |
| Authorized Official Name and Position | William Kerst (OWNER) |
| Authorized Official Contact | 9076312807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Psychological Services, Llc 634 S Bailey St 106 Palmer AK 99645-6360 Ph: (907) 631-2807 | Green Psychological Services, Llc 634 S Bailey St 106 Palmer AK 99645-6360 Ph: (907) 631-2807 |
| NPI Number | 1548613243 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548613243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 112983 (Alaska) | Primary |
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