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1303 5th St Suite 202 Coralville IA 52241-2922 | |
| (319) 358-6520 | |
| (319) 538-0093 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1303 5th St, Coralville, Iowa |
| Authorized Official Name and Position | Cindy Nichols Anderson (OWNER) |
| Authorized Official Contact | 3193586520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1303 5th St Suite 202 Coralville IA 52241-2922 Ph: (319) 358-6520 | 1303 5th St Suite 202 Coralville IA 52241-2922 Ph: (319) 358-6520 |
| NPI Number | 1871913384 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871913384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 001239 (Iowa) | Primary |
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