Jacob Bird Priest, PHD, LMFT | |
105 E 9th St, Coralville, IA 52241-2209 | |
(319) 467-2000 | |
(319) 467-2410 |
Full Name | Jacob Bird Priest |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 105 E 9th St, Coralville, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447532015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 072434 (Iowa) | Primary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Jacob Bird Priest, PHD, LMFT 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 467-2000 | Jacob Bird Priest, PHD, LMFT 105 E 9th St, Coralville, IA 52241-2209 Ph: (319) 467-2000 |
Julia Alison Foster, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 910 23rd Ave Ste 100, Coralville, IA 52241 Phone: 319-351-9731 Fax: 866-468-4419 | |
Amanda Goslin, MA, TLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1754 5th St, Coralville, IA 52241 Phone: 319-351-1949 | |
Tara Danielle Dekkers, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2205 E Grantview Dr, Coralville, IA 52241 Phone: 712-541-2659 | |
Rachel Nadine Van Wickle, MS TLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1754 5th St, Coralville, IA 52241 Phone: 194-931-9351 | |
Mr. Gregory Allen Clark, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1150 5th St Ste 270, Coralville, IA 52241 Phone: 319-804-9312 | |
Karla Hemesath, PH.D. Couples Therapy Medicare: Medicare Enrolled Practice Location: 920 E 2nd Ave Ste 201, Coralville, IA 52241 Phone: 319-384-7000 Fax: 319-467-2814 |