Jil Diane Bottrell, PH.D.

Cognitive & Behavioral Psychologist · Fairbanks, AK

Individual Active NPI

NPI number 1770702524

Practice location

600 University Ave
Fairbanks, AK 99709-3643
Phone
(907) 457-4177

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NPI record

NPI
1770702524
Entity type
Individual (Type 1)
Enumeration date
April 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Cognitive & Behavioral Psychologist Primary 103TB0200X 176 AK

Mailing address

4054 Teal Ave
Fairbanks, AK 99709-3520
Phone
(907) 479-4177

About Dr. Bottrell

Jil Diane Bottrell, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Cognitive & Behavioral Psychologist (code 103TB0200X). The practice location is 600 University Ave, Fairbanks, AK 99709-3643. The NPI number 1770702524 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.

Dr. Bottrell lists a license in the registry: #176 (AK) for Cognitive & Behavioral Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jil Diane Bottrell, PH.D.?

The NPI number is 1770702524.

What is the phone number of Dr. Bottrell?

The phone number listed for the practice location is (907) 457-4177.

Where is Dr. Bottrell located?

600 University Ave, Fairbanks, AK 99709-3643.

What is the taxonomy code for Dr. Bottrell?

The primary taxonomy code is 103TB0200X – Cognitive & Behavioral Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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