| Bear Creek Therapy Pllc | |
|
229 S Main St Suite 1 Maquoketa IA 52060-3056 | |
| (563) 552-7080 | |
| (800) 394-1580 |
| Full Name | Bear Creek Therapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 229 S Main St, Maquoketa, Iowa |
| Authorized Official Name and Position | Jessica A. Ihns (OWNER) |
| Authorized Official Contact | 5635527080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Therapy Pllc 1176 130th Ave Lost Nation IA 52254-9699 Ph: (563) 552-7080 | Bear Creek Therapy Pllc 229 S Main St Suite 1 Maquoketa IA 52060-3056 Ph: (563) 552-7080 |
| NPI Number | 1437473733 |
|---|---|
| Provider Enumeration Date | 03/16/2010 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 7719018191 |
|---|---|
| Medicare Enrollment ID | O20100629000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437473733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00999 (Iowa) | Primary |
| Provider Name | Jessica A Ihns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063486330 PECOS PAC ID: 5496784118 Enrollment ID: I20080414000347 |
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