| Ancera Psychology Associates Pc | |
|
1101 5th St Suite 102 Coralville IA 52241-2903 | |
| (319) 351-9777 | |
| Not Available |
| Full Name | Ancera Psychology Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1101 5th St, Coralville, Iowa |
| Authorized Official Name and Position | Amy Carroll Collins (PSYCHOLOGIST) |
| Authorized Official Contact | 3193519777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancera Psychology Associates Pc 1101 5th St Suite 102 Coralville IA 52241-2903 Ph: (319) 351-9777 | Ancera Psychology Associates Pc 1101 5th St Suite 102 Coralville IA 52241-2903 Ph: (319) 351-9777 |
| NPI Number | 1326306770 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 11/29/2012 |
| Medicare PECOS PAC ID | 2466604871 |
|---|---|
| Medicare Enrollment ID | O20121211000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326306770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 01005 (Iowa) | Primary |
| Provider Name | Alison K Milburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831156173 PECOS PAC ID: 8820052715 Enrollment ID: I20100913000747 |
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