Provider Demographics
NPI:1841397114
Name:SPERBECK, DAVID J (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:SPERBECK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 DEBARR ROAD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AL
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-563-8816
Mailing Address - Fax:907-264-4331
Practice Address - Street 1:2530 DEBARR ROAD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AL
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-563-8816
Practice Address - Fax:907-264-4331
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK233103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist