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Contact Information

WELLSOURCE
235 S EISENHOWER AVENUE
MASON CITY, IA50401
 Phone: 641-424-2075
 Fax: 641-424-9555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Registered Nurse

163W00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for WELLSOURCE · (Female)

NPI # 1992818249
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2006
Last updated 01/23/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Medicaid 00065243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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