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Contact Information

EAST IOWA PSYCHOLOGY GROUP PC
325 EAST WASHINGTON ST
STE 206
IOWA CITY, IA52240
 Phone: 319-358-9397
 Fax: 319-354-9626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EAST IOWA PSYCHOLOGY GROUP PC

NPI Number 1134183510
LBN Legal business name EAST IOWA PSYCHOLOGY GROUP PC
Authorized official ANNE GREEN - (COOWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2006
Last updated 11/29/2012 - About 14 years ago
Identifiers
IA Other 54264 WELLMARK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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