Provider Demographics
NPI:1578730024
Name:TRANEL, DENNIS L (PSYD, MPAS, LSW,PAC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:TRANEL
Suffix:
Gender:M
Credentials:PSYD, MPAS, LSW,PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10296 VALLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-7319
Mailing Address - Country:US
Mailing Address - Phone:907-232-1994
Mailing Address - Fax:907-630-6061
Practice Address - Street 1:2895 AVALON CIRCLE
Practice Address - Street 2:#4
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-232-1994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK0360101YM0800X
AK0912363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health