| Renewing The Mind Pc | |
|
3930 Stadium Dr Ste 1 Sioux City IA 51106-5166 | |
| (712) 271-6463 | |
| (712) 271-6464 |
| Full Name | Renewing The Mind Pc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3930 Stadium Dr Ste 1, Sioux City, Iowa |
| Authorized Official Name and Position | Raul Sanchez (PRESIDENT) |
| Authorized Official Contact | 7122716463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing The Mind Pc 3930 Stadium Dr Ste 1 Sioux City IA 51106-5166 Ph: (712) 271-6463 | Renewing The Mind Pc 3930 Stadium Dr Ste 1 Sioux City IA 51106-5166 Ph: (712) 271-6463 |
| NPI Number | 1699150979 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699150979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 01010 (Iowa) | Primary |
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