| Parkview Psychological Services, P.c. | |
|
2910 Hamilton Blvd Ste 100 Sioux City IA 51104-2423 | |
| (712) 239-1111 | |
| (712) 239-1199 |
| Full Name | Parkview Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2910 Hamilton Blvd Ste 100, Sioux City, Iowa |
| Authorized Official Name and Position | Genell Sandberg (OWNER) |
| Authorized Official Contact | 7122391111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Psychological Services, P.c. 2910 Hamilton Blvd Ste 100 Sioux City IA 51104-2423 Ph: (712) 239-1111 | Parkview Psychological Services, P.c. 2910 Hamilton Blvd Ste 100 Sioux City IA 51104-2423 Ph: (712) 239-1111 |
| NPI Number | 1568554210 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 6608766498 |
|---|---|
| Medicare Enrollment ID | O20040316001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568554210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 562 (Iowa) | Primary |
| Provider Name | Genell G Sandberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851375802 PECOS PAC ID: 0143269407 Enrollment ID: I20100813000823 |
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