State University Of Iowa | |
335 E. Jefferson Street Iowa City IA 52242 | |
(319) 335-2467 | |
(319) 353-2919 |
Full Name | State University Of Iowa |
---|---|
Speciality | Psychologist - Clinical |
Location | 335 E. Jefferson Street, Iowa City, Iowa |
Authorized Official Name and Position | Ke Anne Zhang (CLINICAL ASSOCIATE PROFESSOR) |
Authorized Official Contact | 3193352467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State University Of Iowa 340 Iowa Ave Iowa City IA 52242-1210 Ph: (319) 335-2467 | State University Of Iowa 335 E. Jefferson Street Iowa City IA 52242 Ph: (319) 335-2467 |
NPI Number | 1407975261 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 10/13/2023 |
Certification Date | 10/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407975261 | NPI | - | NPPES |
29078 | Other | IA | PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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