| Dr Timi Dee Friederichs Jordison, PHD; EDS | |
|
1728 Central Ave, Ste. 14, Fort Dodge, IA 50501-4200 | |
| (515) 573-3628 | |
| (515) 573-3682 |
| Full Name | Dr Timi Dee Friederichs Jordison |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1728 Central Ave, Fort Dodge, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043390818 | NPI | - | NPPES |
| 07466 | Other | IA | WELLMARK BC/BS |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 322774 (Iowa) | Secondary |
| 103TC0700X | Psychologist - Clinical | 001080 (Iowa) | Primary |
| Entity Name | Timi Jordison Psychological Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619203379 PECOS PAC ID: 1254479272 Enrollment ID: O20091112000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timi Dee Friederichs Jordison, PHD; EDS 1728 Central Ave, Ste. 14, Fort Dodge, IA 50501-4200 Ph: (515) 573-3628 | Dr Timi Dee Friederichs Jordison, PHD; EDS 1728 Central Ave, Ste. 14, Fort Dodge, IA 50501-4200 Ph: (515) 573-3628 |
Dr. David Paul Johnson, PH.D Psychologist Medicare: May Accept Medicare Assignments Practice Location: 804 Kenyon Road, Ste A Physician's Office Bldg, West, Fort Dodge, IA 51501 Phone: 515-574-6120 Fax: 515-574-6135 | |
Melanie K Porter, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 Kenyon Road, North Central Iowa Mental Health Dba Berryhill Center, Fort Dodge, IA 50501 Phone: 515-955-7171 Fax: 515-573-7898 | |
Dr. Sara Schwatken, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 822 Central Ave Ste 401, Fort Dodge, IA 50501 Phone: 612-270-7619 |