Eastdale Psychology Group Pc

LBN: East Iowa Psychology Group Pc
Eastdale Psychology Group Pc is an health care organization with primary practice located at 325 East Washington St Ste 206, Iowa City IA 52240. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. East Iowa Psychology Group Pc can be contacted via phone (319) 358-9397, or through Green, Anne M via phone (319) 358-9397.

Contact Information

Primary practice address
325 East Washington St Ste 206 Iowa City IA 52240
Phone: (319) 358-9397
Fax: (319) 354-9626
Website:
Map and Directions
Authorized official contact:
Name: Green, Anne M PHD
Phone: (319) 358-9397

Health care specialties

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

Profile Details

NPI number 1134183510
LBN Legal business name East Iowa Psychology Group Pc
DBA Doing business as Eastdale Psychology Group Pc
Authorized official Green, Anne M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134183510 NPPES
Iowa Other 54264 WELLMARK

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