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General NPI Number Information
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NPI Number | 1013896448
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Entity Type | Organization
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Legal Business Name | ATHENA PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 12840 SUMMER DR
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City | ANCHORAGE
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State | AK
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Zip | 99516-2627
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Country | US
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Telephone | 303-990-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 12840 SUMMER DR
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City | ANCHORAGE
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State | AK
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Zip | 99516-2627
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Country | US
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Telephone | 303-990-2149
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. ATHENA HUBBARD
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Credential | PHD
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Telephone | 303-990-2149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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