Provider Demographics
NPI:1033875984
Name:EARLL, DANNY ASHTON
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:ASHTON
Last Name:EARLL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 CHERYL ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2036
Mailing Address - Country:US
Mailing Address - Phone:907-317-6507
Mailing Address - Fax:
Practice Address - Street 1:6901 CHERYL ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2036
Practice Address - Country:US
Practice Address - Phone:907-317-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health