Healthcare Provider Details

I. General information

NPI: 1629901210
Provider Name (Legal Business Name): ANTHONY EDWARD PIPER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20131 CONSTITUTION DR
EAGLE RIVER AK
99577-8470
US

IV. Provider business mailing address

20131 CONSTITUTION DR
EAGLE RIVER AK
99577-8470
US

V. Phone/Fax

Practice location:
  • Phone: 907-884-4595
  • Fax:
Mailing address:
  • Phone: 907-884-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number149
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: