| Northstar Psychotherapy Pllc | |
|
2805 Eastern Ave Ste 111 Davenport IA 52803-2074 | |
| (563) 528-9786 | |
| Not Available |
| Full Name | Northstar Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2805 Eastern Ave Ste 111, Davenport, Iowa |
| Authorized Official Name and Position | Christa Orfitelli (OWNER/MANAGER/SOLE MEMBER) |
| Authorized Official Contact | 5635289786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Psychotherapy Pllc 923 W Rusholme St Davenport IA 52804-1821 Ph: () - | Northstar Psychotherapy Pllc 2805 Eastern Ave Ste 111 Davenport IA 52803-2074 Ph: (563) 528-9786 |
| NPI Number | 1629660626 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629660626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
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