MEDICARE: DR. SYLVIA ROBBINS CONDY PH.D

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
1	103TC0700X	Clinical Psychologist	AK259	AK

General Provider Information

NPI Number	:	1619099439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA ROBBINS CONDY PH.D

Provider Business Mailing Address
First Line	:	PO BOX 230566
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99523-0566
Country	:	US
Telephone Number	:	907-333-5333
Fax Number	:	907-677-5967

Provider Business Practice Location Address
First Line	:	2550 DENALI ST
Second Line	:	SUITE 1505
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2736
Country	:	US
Telephone Number	:	907-333-5333
Fax Number	:	907-677-5967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

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