Kyle, Marjorie Teresa

Kyle, Marjorie Teresa is an individual health care provider with primary practice located at 4982 Zukert Ave Rm 126, Jber AK 99505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Kyle, Marjorie Teresa can be contacted via phone (907) 580-0715.

Contact Information

Primary practice address
4982 Zukert Ave Rm 126 Jber AK 99505
Phone: (907) 580-0715
Fax: (907) 580-0629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 31369 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 628 Alaska

Profile Details

NPI number 1487696795
LBN Legal business name Kyle, Marjorie Teresa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 22nd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487696795 NPPES
Texas MEDICAID 1724726
Texas Other 628

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