| Therese Korth, | |
|
147 15th Ave, Council Bluffs, IA 51503-6827 | |
| (712) 325-1331 | |
| Not Available |
| Full Name | Therese Korth |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 147 15th Ave, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932440658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 001286 (Iowa) | Primary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Therese Korth, 3306 S 48th Avenue Cir, Omaha, NE 68106-4062 Ph: () - | Therese Korth, 147 15th Ave, Council Bluffs, IA 51503-6827 Ph: (712) 325-1331 |
Jamie A Ryder, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 810 Harmony St, Suite 302, Council Bluffs, IA 51503 Phone: 712-328-2609 Fax: 712-328-2609 | |
Dr. Gary Young Larsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Willow Ave, Council Bluffs, IA 51501 Phone: 712-323-1728 Fax: 712-323-8888 | |
Aubre Nicole Powers, MD Psychologist Medicare: Medicare Enrolled Practice Location: 500 Willow Ave Ste 402-407, Council Bluffs, IA 51503 Phone: 402-256-7913 | |
Mary Ann M Strider, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite # 105, Council Bluffs, IA 51503 Phone: 712-396-7500 | |
Ms. Jennifer Lynn Edgington, M.S. BCBA, LBA, IBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 736 Valley View Dr Apt 7, Council Bluffs, IA 51503 Phone: 319-270-2854 |