Search › Alaska › 101YP2500X

Megan Russell-Licata

NPI 1417403643 · on the registry since 2016 · sole proprietor

Practice

Address
2550 Denali St., Ste. 1608
Anchorage, AK 99503
Phone
(907) 242-9541
Organisation at this address
Holman Psychological Services, Llc
Center For Vein Restoration Ak Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska