Molly E Dietrich, PSYD | |
1201 E 36th Ave, Anchorage, AK 99508-4372 | |
(907) 562-9229 | |
(907) 562-1603 |
Full Name | Molly E Dietrich |
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Gender | Female |
Speciality | Psychologist |
Location | 1201 E 36th Ave, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427661636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 227938 (Alaska) | Primary |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679 |
Mailing Address | Practice Location Address |
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Molly E Dietrich, PSYD Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068 | Molly E Dietrich, PSYD 1201 E 36th Ave, Anchorage, AK 99508-4372 Ph: (907) 562-9229 |
James Kyle Timmons, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1020 Potlatch Cir, Anchorage, AK 99503 Phone: 907-947-1862 | |
Raymond Pastorino, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1201 E 36th Ave, Anchorage, AK 99508 Phone: 907-562-9229 Fax: 907-562-1603 | |
Dr. Sally Schliesmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Redwood Pl, Anchorage, AK 99508 Phone: 907-278-1200 Fax: 907-276-3147 | |
Cale Palmer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3001 C St, Anchorage, AK 99503 Phone: 907-273-4023 | |
Suzette Lewis, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2121 Abbott Rd, Anchorage, AK 99507 Phone: 907-522-7080 Fax: 907-522-7088 | |
Kelley Russell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Muldoon Rd, Anchorage, AK 99504 Phone: 907-257-4700 | |
Marc Steven Dutch, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1131 E International Airport Rd, Anchorage, AK 99518 Phone: 907-276-2700 |