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General NPI Number Information
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NPI Number | 1811896319
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Entity Type | Organization
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Legal Business Name | UAA PSYCHOLOGICAL SERVICES CENTER
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3211 PROVIDENCE DR
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City | ANCHORAGE
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State | AK
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Zip | 99508-4614
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Country | US
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Telephone | 907-786-1795
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Fax | 907-786-1790
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Provider Business Mailing Address
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Address Line | 3211 PROVIDENCE DR
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City | ANCHORAGE
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State | AK
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Zip | 99508-4614
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Country | US
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Telephone | 907-786-1795
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Fax | 907-786-1790
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Authorized Official
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Title or Position | DIRECTOR, PSYCHOLOGICAL SERVICES
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Name | DR. HANNAH EKSTROM
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Credential | PSYD
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Telephone | 907-786-1758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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