| Breza Newcomb Psychotherapy, Llc | |
|
3510 Guadalajara Rd Sw Cedar Rapids IA 52404-9015 | |
| (319) 242-5615 | |
| Not Available |
| Full Name | Breza Newcomb Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3510 Guadalajara Rd Sw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Kristin Breza Newcomb (OWNER, THERAPIST) |
| Authorized Official Contact | 3192425615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breza Newcomb Psychotherapy, Llc 3510 Guadalajara Rd Sw Cedar Rapids IA 52404-9015 Ph: (319) 242-5615 | Breza Newcomb Psychotherapy, Llc 3510 Guadalajara Rd Sw Cedar Rapids IA 52404-9015 Ph: (319) 242-5615 |
| NPI Number | 1649997560 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649997560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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