Huston, Michael Lee

Huston, Michael Lee is an individual health care provider with primary practice located at 3900 Ingersoll Ave Suite 108, Des Moines IA 50312-3534. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Huston, Michael Lee can be contacted via phone (515) 279-6200.

Contact Information

Primary practice address
3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534
Fax: (515) 279-4528
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00675 Iowa

Profile Details

NPI number 1841292471
LBN Legal business name Huston, Michael Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 9th, 2007 - about 19 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 1841292471 NPPES
Iowa MEDICAID 0249649

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