Correa-Kaiser, Maria Judith

Correa-Kaiser, Maria Judith is an individual health care provider with primary practice located at 2102 E 38Th St , Davenport IA 52807-1135. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Correa-Kaiser, Maria Judith can be contacted via phone (563) 359-4049.

Contact Information

Primary practice address
2102 E 38Th St Davenport IA 52807-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00797 Iowa

Profile Details

NPI number 1477563252
LBN Legal business name Correa-Kaiser, Maria Judith
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477563252 NPPES
Iowa MEDICAID 1108750000

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