| Hope Therapy, P.c. | |
|
101 1/2 1st St Nw Ste 3 Mount Vernon IA 52314-1602 | |
| (319) 535-3040 | |
| Not Available |
| Full Name | Hope Therapy, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 101 1/2 1st St Nw Ste 3, Mount Vernon, Iowa |
| Authorized Official Name and Position | Christopher Ryan Hagan (DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Contact | 3195353040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Therapy, P.c. 302 E 2nd Ave Lisbon IA 52253-9788 Ph: (714) 661-9683 | Hope Therapy, P.c. 101 1/2 1st St Nw Ste 3 Mount Vernon IA 52314-1602 Ph: (319) 535-3040 |
| NPI Number | 1821703612 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 4284093295 |
|---|---|
| Medicare Enrollment ID | O20230710001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821703612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| Provider Name | Christopher Ryan Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285226746 PECOS PAC ID: 5991164907 Enrollment ID: I20230710001707 |
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