| College Park Neuropsychology | |
|
700 16th St Ne Ste 201 Cedar Rapids IA 52402-4665 | |
| (319) 365-3935 | |
| (319) 363-3448 |
| Full Name | College Park Neuropsychology |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 16th St Ne Ste 201, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Angela D Perkins (OWNER) |
| Authorized Official Contact | 3193633935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| College Park Neuropsychology 700 16th St Ne Ste 201 Cedar Rapids IA 52402-4665 Ph: (319) 365-3935 | College Park Neuropsychology 700 16th St Ne Ste 201 Cedar Rapids IA 52402-4665 Ph: (319) 365-3935 |
| NPI Number | 1881103471 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698040830 |
|---|---|
| Medicare Enrollment ID | O20171013001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881103471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 00995 (Iowa) | Primary |
| Provider Name | Angela D Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740292523 PECOS PAC ID: 3779593892 Enrollment ID: I20060503000343 |
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