| Patty Hull, Lisw, Pllc | |
|
1218 Central Ave Fort Dodge IA 50501-4246 | |
| (515) 574-9507 | |
| Not Available |
| Full Name | Patty Hull, Lisw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1218 Central Ave, Fort Dodge, Iowa |
| Authorized Official Name and Position | Patricia T Hull (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5155749507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patty Hull, Lisw, Pllc 1218 Central Ave Fort Dodge IA 50501-4246 Ph: () - | Patty Hull, Lisw, Pllc 1218 Central Ave Fort Dodge IA 50501-4246 Ph: (515) 574-9507 |
| NPI Number | 1497106785 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 06/28/2016 |
| Medicare PECOS PAC ID | 8426346693 |
|---|---|
| Medicare Enrollment ID | O20161004002398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497106785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01447 (Iowa) | Primary |
| Provider Name | Patricia T Hull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346320702 PECOS PAC ID: 6406022987 Enrollment ID: I20120104000875 |
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