| Doctor Name: | SHELLEY LENEE REPPEL |
| NPI Number: | 1013085364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 445 |
| Business Practice Address: | 3820 Lake Otis Pkwy Suite 100 Anchorage, AK - 995085209 |
| Business Phone Number: | 9075696906 |
| Business Fax Number: | 9075696908 |
| Mailing Address: | 3820 Lake Otis Pkwy, Suite 100 ANCHORAGE |
| State: | AK |
| Postal Code: | 995085209 |
| Phone Number: | 9075696906 |
| Fax Number: | 9075696908 |
| NPI Enumeration Date: | 12/02/2006 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |