| Interpersonal Psychotherapy Institute Llc | |
|
585 W Cherry St North Liberty IA 52317-9797 | |
| (319) 665-4724 | |
| Not Available |
| Full Name | Interpersonal Psychotherapy Institute Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 585 W Cherry St, North Liberty, Iowa |
| Authorized Official Name and Position | Scott Stuart (DIRECTOR) |
| Authorized Official Contact | 3193219998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interpersonal Psychotherapy Institute Llc Po Box 5925 Coralville IA 52241-0891 Ph: (319) 321-9998 | Interpersonal Psychotherapy Institute Llc 585 W Cherry St North Liberty IA 52317-9797 Ph: (319) 665-4724 |
| NPI Number | 1932746542 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 5890113666 |
|---|---|
| Medicare Enrollment ID | O20200910000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932746542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Scott Phillip Stuart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316933948 PECOS PAC ID: 1759411762 Enrollment ID: I20100617000114 |
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