Avalon Therapeutic Riding Stable
Organization Active NPI Psychologist · Juneau, AK
NPI 1841521291 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1841521291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- AVALON THERAPEUTIC RIDING STABLE
- Practice address
- 11880 Mendenhall Loop Rd
Juneau, AK 99801-8662 - Phone
- (907) 500-2244
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Miss Anne Patricia Blust
- Title
- Ceo
- Phone
- (907) 500-2244
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
11880 Mendenhall Loop Rd
Juneau, AK 99801-8662
Mailing address
PO Box 33053
Juneau, AK 99803-3053
Phone (907) 500-2244
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. 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.