Healthcare Provider Details

I. General information

NPI: 1720205784
Provider Name (Legal Business Name): ALLISON MARIE LAYMAN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON MARIE KIMBALL MA

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 ABBOTT RD
ANCHORAGE AK
99507-4314
US

IV. Provider business mailing address

4600 ABBOTT RD
ANCHORAGE AK
99507-4314
US

V. Phone/Fax

Practice location:
  • Phone: 907-346-2101
  • Fax: 907-348-9230
Mailing address:
  • Phone: 907-346-2101
  • Fax: 907-348-9230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: