| Jra | |
|
5415 Nw 88th St Suite 100 Johnston IA 50131-2950 | |
| (626) 377-6844 | |
| Not Available |
| Full Name | Jra |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5415 Nw 88th St, Johnston, Iowa |
| Authorized Official Name and Position | Joel Edgar Ashby (PSYCHOLOGIST) |
| Authorized Official Contact | 6263776844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jra 5415 Nw 88th St Suite 100 Johnston IA 50131-2950 Ph: (626) 377-6844 | Jra 5415 Nw 88th St Suite 100 Johnston IA 50131-2950 Ph: (626) 377-6844 |
| NPI Number | 1205116712 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 08/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205116712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001166 (Iowa) | Primary |
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