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General NPI Number Information
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NPI Number | 1568339208
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Entity Type | Organization
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Legal Business Name | ALASKA NEUROPSYCHOLOGY, LLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 3300 FAIRBANKS ST STE B
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City | ANCHORAGE
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State | AK
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Zip | 99503-4165
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Country | US
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Telephone | 907-232-6995
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Fax | 907-331-0114
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Provider Business Mailing Address
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Address Line | PO BOX 110301
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City | ANCHORAGE
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State | AK
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Zip | 99511-0301
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Country | US
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Telephone | 907-232-6995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER CAVANAUGH
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Credential | PHD
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Telephone | 907-232-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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