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Board of Psychologist and Psychological Associate Examiners
State of Alaska >Commerce >Professional Licensing >Psychologists Examiners   
 
Applications
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Psychologist & Psychological Associate Statutes & Regulations
Central Licensing Statutes & Regulations
National Organizations
Member Term Expires
Dr. John DeRuyter, Ph.D
Psychologist, Chair
March 1, 2015
Kristi Fuller, Ph.D, ABPP-CN
Psychologist
March 1, 2017
Al Levy, L.P.A.
Psychological Associate
March 1, 2016
Christian Muntean
Public Member
March 1, 2016
Joel Wieman, Ph.D.
Psychologist
March 1, 2016
   

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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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