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NPI Code Detail

MEDICARE: TERRENCE F SVOBODA M.A.

MEDICARE: TERRENCE F SVOBODA M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1548594369
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRENCE F SVOBODA M.A.
Provider Business Mailing Address
First Line : PO BOX 876741
Second Line :
City : WASILLA
State : AK
Zip : 99687-6741
Country : US
Telephone Number : 907-373-4732
Fax Number :
Provider Business Practice Location Address
First Line : 950 S SNODGRASS DR
Second Line :
City : PALMER
State : AK
Zip : 99645-9750
Country : US
Telephone Number : 907-373-4732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2009
Last Update Date : 05/01/2024

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Directions to “ TERRENCE F SVOBODA M.A.” Practice Location

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