Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISA YOUNGBLOOD, PH.D.
Active Sole ProprietorDR. ELISA YOUNGBLOOD, PH.D. is a Clinical Psychologist healthcare provider located in KETCHIKAN, Alaska. NPI 1689703498 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · KETCHIKAN, AK
Registration Details
- NPI Number
- 1689703498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2007 (19.48973612848 yrs)
- Last Updated
- Aug 13, 2013
- License
-
568 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1162 JACKSON STKETCHIKAN, AK, 999015771Browse AK providers · Browse ZIP 99901
- Phone
- 9076170169
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.