Provider Demographics
NPI:1659689222
Name:ALASKA NEURO ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ALASKA NEURO ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VALINSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-244-6805
Mailing Address - Street 1:4241 B ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5920
Mailing Address - Country:US
Mailing Address - Phone:907-277-0100
Mailing Address - Fax:907-277-0100
Practice Address - Street 1:4241 B ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-5920
Practice Address - Country:US
Practice Address - Phone:907-277-0100
Practice Address - Fax:907-277-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty