Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 598 | KY |
N | 103T00000X | Psychologist | 598 | KY |
Y | 102L00000X | Psychologist | 603 | AK |
Y | 103T00000X | Psychologist | 603 | AK |
NPI | 1013063965 |
---|---|
Provider Name | Debra K Arthur-Wilkinson |
First Address | Anchorage, AK 99503-6448 |
Second Address | Ketchikan, AK 99901-5773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 18/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30615058 | (05) | KY |