Rozanne M. Rucker, M.S., LMFT
Individual provider Active NPI Marriage & Family Therapist · Kodiak, AK
NPI 1639389232 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1639389232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 280 (AK)
- Practice address
- 3449 E Rezanof Dr
Kodiak, AK 99615-6952 - Phone
- (907) 486-9836
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0551 | KY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | KY-0551 | KY | |
| Marriage & Family Therapist | 106H00000X | 280 | AK | Yes |
Addresses
Primary practice location
3449 E Rezanof Dr
Kodiak, AK 99615-6952
Mailing address
3449 E Rezanof Dr
Kodiak, AK 99615-6952
Phone (907) 486-9836
Other providers in Kodiak, AK
- Erik Abraham Riutta
- Gene L Robinson
- Diannette Marie Rodriguez Garcia
- Connor Flynn Rogan
- Holly Rozelle
- Kaytlin Erin Rupert
- Safeway Inc
- Safeway Inc
- Zoya A Saltonstall
- Veronica Angelica Samaniego
All providers in Kodiak, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.