Healthcare Provider Details

I. General information

NPI: 1861327215
Provider Name (Legal Business Name): ALASKA PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19927 UNIMAK CIR
EAGLE RIVER AK
99577-8713
US

IV. Provider business mailing address

19927 UNIMAK CIR
EAGLE RIVER AK
99577-8713
US

V. Phone/Fax

Practice location:
  • Phone: 907-242-8456
  • Fax:
Mailing address:
  • Phone: 907-242-8456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN GORDON HUTCHESON
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 907-242-8456