Healthcare Provider Details

I. General information

NPI: 1720694979
Provider Name (Legal Business Name): STEVEN DAVID STROMAN-WAHL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 E. 74TH AVE
ANCHORAGE AK
99507
US

IV. Provider business mailing address

1550 E. 74TH AVE
ANCHORAGE AK
99507
US

V. Phone/Fax

Practice location:
  • Phone: 907-929-5826
  • Fax: 907-929-5862
Mailing address:
  • Phone: 907-929-5826
  • Fax: 907-929-5862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: