Provider Demographics
NPI:1568086767
Name:KIM, STEFFI MAROTZKE (PHD)
Entity Type:Individual
Prefix:
First Name:STEFFI
Middle Name:MAROTZKE
Last Name:KIM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 DENALI ST STE 1611
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2753
Mailing Address - Country:US
Mailing Address - Phone:907-344-0711
Mailing Address - Fax:907-272-1611
Practice Address - Street 1:2550 DENALI ST STE 1611
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2753
Practice Address - Country:US
Practice Address - Phone:907-344-0711
Practice Address - Fax:907-272-1611
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist