Provider Demographics
NPI:1447267935
Name:SPERBECK, JOHN FREDERICK (BS)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FREDERICK
Last Name:SPERBECK
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
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Mailing Address - Street 1:2416 ASTERION CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2540
Mailing Address - Country:US
Mailing Address - Phone:907-250-3595
Mailing Address - Fax:907-562-7901
Practice Address - Street 1:4020 FOLKER ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5321
Practice Address - Country:US
Practice Address - Phone:907-261-5380
Practice Address - Fax:907-562-2045
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health