MEDICARE: ALASKA PSYCHOLOGY LLC

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

General Provider Information

NPI Number	:	1861327215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALASKA PSYCHOLOGY LLC

Provider Business Mailing Address
First Line	:	19927 UNIMAK CIR
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-8713
Country	:	US
Telephone Number	:	907-242-8456
Fax Number	:

Provider Business Practice Location Address
First Line	:	19927 UNIMAK CIR
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-8713
Country	:	US
Telephone Number	:	907-242-8456
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. ANN GORDON HUTCHESON
Credential	:	PSYD
Telephone Number	:	907-242-8456

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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