Healthcare Provider Details

I. General information

NPI: 1639446065
Provider Name (Legal Business Name): ALANNA L HEPLER M.S.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 05/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5507 SW 9TH AVE
AMARILLO TX
79106-4130
US

IV. Provider business mailing address

5507 SW 9TH AVE
AMARILLO TX
79106-4130
US

V. Phone/Fax

Practice location:
  • Phone: 806-468-7611
  • Fax: 806-468-7603
Mailing address:
  • Phone: 806-468-7611
  • Fax: 806-468-7603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number37177
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: