Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON TYRELL
Active Sole ProprietorJASON TYRELL is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ANCHORAGE, Alaska. NPI 1275317133 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ANCHORAGE, AK
Registration Details
- NPI Number
- 1275317133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2023 (3.023960593175 yrs)
- Last Updated
- Aug 22, 2023
- License
-
101559 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5731 RADCLIFF DR # 1ANCHORAGE, AK, 995043019Browse AK providers · Browse ZIP 99504
- Phone
- 9073394859
- Fax
- 9073310463
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in ANCHORAGE, AK
| Name | Credential | NPI |
|---|---|---|
| MRS. SHELLIE IRENE HICKOK | — | 1639412950 |
| GARY JONES | — | 1295282952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.