PEDIATRIC NEUROPSYCHOLOGICAL SERVICES OF ALASKA, PC
Ambulatory Health at Business Park Blvd, Anchorage, AK

License number
Alaska PSY 539
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. STEPHEN LEONCE MAILLOUX PH.D.
Title: NEUROPSYCHOLOGIST
Phone: (907) 306-6525
Address
Address
4400 Business Park Blvd SUITE 11, Anchorage, AK 99503
National Provider ID: 1326204504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Pediatric Neuropsychological Services of Alaska, PC

800 E Dimond Blvd SUITE 3-625, Anchorage, AK 99515

Doing business as:
Pediatric Neurospsychological Services of Alaska, a Professional Corporation
Registration:
Oct 19, 2008
State ID:
118701
Business type:
Professional Corporation
Previous name:
Pediatric Neurospsychological Services of Alaska, a Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Stephen Mailloux (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Agent:
The Conway Law Firm, Pc,405 W 36 Ave STE 102, Anchorage, AK 99503 (Mailing)
Next Report:
20160102

Pediatric Neuropsychological Services of Alaska PC

PO Box 110704, Anchorage, AK 99511

Status:
Inactive
Industry:
Medical Doctor's Office

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