Immingan, Autumn

Immingan, Autumn is an individual health care provider with primary practice located at 3000 C St , Anchorage AK 99503-3975. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Immingan, Autumn can be contacted via phone (907) 729-4955.

Contact Information

Primary practice address
3000 C St Anchorage AK 99503-3975
Phone: (907) 729-4955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1922741990
LBN Legal business name Immingan, Autumn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2022
Last updated Apr 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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