WENDELL STREET PSYCHIATRIC LLC
Psychiatric in Fairbanks, AK

License number
Alaska 3921
Category
Psychiatric
Type
Psychiatry
License number
Alaska 3921
Category
Psychiatric
Type
Child & Adolescent Psychiatry
License number
Alaska 3921
Category
Psychiatric
Type
Geriatric Psychiatry
Owner
Name: DR. MIKKI KING BARKER DO
Title: OWNER PRESIDENT
Phone: (907) 455-4135
Address
Address
225 Wendell St STE B, Fairbanks, AK 99701
National Provider ID: 1568671766
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WENDELL STREET PSYCHIATRIC LLC at bizstanding.com

Wendell Street Psychiatric LLC

225 Wendell St STE B, Fairbanks, AK 99701

Status:
Inactive
Doing business as:
Wendel Street Psychiatric LLC
Registration:
Mar 1, 2007
State ID:
106907
Business type:
Limited Liability Company
Previous name:
Wendel Street Psychiatric LLC
Expiration:
Perpetual
Member, Manager:
Mikki Barker (Member, Manager)
Next Report:
20150102

Psychiatric licenses in Alaska










Other Doctors licenses in Alaska