Provider Demographics
NPI:1174920334
Name:JORGENSON, LAHELA ASHLEE RICE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAHELA
Middle Name:ASHLEE RICE
Last Name:JORGENSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LAHELA
Other - Middle Name:ASHLEE
Other - Last Name:NISHIGAYA RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4112 HOOD CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1057
Mailing Address - Country:US
Mailing Address - Phone:907-787-9435
Mailing Address - Fax:907-802-6111
Practice Address - Street 1:4112 HOOD CT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-1057
Practice Address - Country:US
Practice Address - Phone:907-787-9435
Practice Address - Fax:907-802-6111
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK141062103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist