| Counseling And Assessment Service, Pc | |
|
515 2nd St Ne Independence IA 50644-1915 | |
| (319) 334-6820 | |
| (319) 334-7086 |
| Full Name | Counseling And Assessment Service, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 515 2nd St Ne, Independence, Iowa |
| Authorized Official Name and Position | George M Harper (DIRECTOR/OWNER LICENSED PSYCHOLOGIS) |
| Authorized Official Contact | 3193346820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Assessment Service, Pc 515 2nd St Ne Independence IA 50644-1915 Ph: (319) 334-6820 | Counseling And Assessment Service, Pc 515 2nd St Ne Independence IA 50644-1915 Ph: (319) 334-6820 |
| NPI Number | 1205004033 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/15/2013 |
| Medicare PECOS PAC ID | 5294627592 |
|---|---|
| Medicare Enrollment ID | O20040329001664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205004033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | George M Harper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114906476 PECOS PAC ID: 8022093087 Enrollment ID: I20040623000265 |
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