Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | AA316 | AK |
Y | 103TC0700X | Clinical Psychologist | AA316 | AK |
NPI | 1013150168 |
---|---|
Provider Name | Dr. Sally Schliesmann |
First Address | Anchorage, AK 99508-4210 |
Second Address | Anchorage, AK 99508-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2009 |
Last Update Date | 18/04/2009 |