| Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc | |
|
1728 Central Ave Suite 14 Fort Dodge IA 50501-4200 | |
| (515) 955-1836 | |
| (515) 955-7115 |
| Full Name | Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1728 Central Ave, Fort Dodge, Iowa |
| Authorized Official Name and Position | Holly Mcclintock (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 5155749803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc 1728 Central Ave Suite 14 Fort Dodge IA 50501-4200 Ph: (515) 955-1836 | Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc 1728 Central Ave Suite 14 Fort Dodge IA 50501-4200 Ph: (515) 955-1836 |
| NPI Number | 1407250715 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407250715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | G122426 (Iowa) | Primary |
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