Earth Please Foundation | |
104 E Clay St Mount Pleasant IA 52641-2318 | |
(319) 385-4277 | |
(319) 385-4277 |
Full Name | Earth Please Foundation |
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Speciality | Psychologist |
Location | 104 E Clay St, Mount Pleasant, Iowa |
Authorized Official Name and Position | William Porter (DR/PSYCHOLOGIST) |
Authorized Official Contact | 3193854277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Earth Please Foundation Po Box 712 Mount Pleasant IA 52641-0712 Ph: () - | Earth Please Foundation 104 E Clay St Mount Pleasant IA 52641-2318 Ph: (319) 385-4277 |
NPI Number | 1386912657 |
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Provider Enumeration Date | 12/01/2011 |
Last Update Date | 12/01/2011 |
Medicare PECOS PAC ID | 9032499173 |
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Medicare Enrollment ID | O20161207002619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386912657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 00594 (Iowa) | Primary |
Provider Name | William Porter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508991613 PECOS PAC ID: 8729368675 Enrollment ID: I20161209001905 |
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