| Mhc Child Protection | |
|
801 5th St Sioux City IA 51101-1394 | |
| (712) 279-2548 | |
| Not Available |
| Full Name | Mhc Child Protection |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 801 5th St, Sioux City, Iowa |
| Authorized Official Name and Position | Ronald J Roberson (CFO) |
| Authorized Official Contact | 7122795850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhc Child Protection Po Box 1463 Sioux City IA 51102-1463 Ph: (712) 279-2263 | Mhc Child Protection 801 5th St Sioux City IA 51101-1394 Ph: (712) 279-2548 |
| NPI Number | 1316926983 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316926983 | NPI | - | NPPES |
| 0290858 | Medicaid | IA | |
| 29085 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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