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NPI Profile for Dr DAVID P WACKER in IOWA CITY, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI # | 1326202482 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 07/17/2008 | |
| Last updated | 07/17/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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DAVID P WACKER
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