Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIL DIANE BOTTRELL, PH.D.
Active Sole ProprietorJIL DIANE BOTTRELL, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in FAIRBANKS, Alaska. NPI 1770702524 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · FAIRBANKS, AK
Registration Details
- NPI Number
- 1770702524
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2007 (19.163384626025 yrs)
- Last Updated
- Jul 8, 2007
- License
-
176 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 UNIVERSITY AVEFAIRBANKS, AK, 997093643Browse AK providers · Browse ZIP 99709
- Phone
- 9074574177
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN MICHAEL WORRALL | PH.D. | 1881966414 |
| TANESHA MICHELE LIE | — | 1487321386 |
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.