Provider Demographics
NPI:1316272503
Name:SEMCHENKO, ALANA S (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:S
Last Name:SEMCHENKO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 1/2 E BROADWAY AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-4408
Mailing Address - Country:US
Mailing Address - Phone:701-751-0443
Mailing Address - Fax:701-751-1616
Practice Address - Street 1:515 1/2 E BROADWAY AVE
Practice Address - Street 2:STE 106
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4408
Practice Address - Country:US
Practice Address - Phone:701-751-0443
Practice Address - Fax:701-751-1616
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1457065Medicaid
NDN715884Medicare PIN