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Organization
THE CHILDSERVE CLINIC INC
Active
Organization
THE CHILDSERVE CLINIC INC
Active
Other names
ChildServe Therapy Clinics, ChildServe Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAVLOVEC (DIRECTOR OF FINANCE)
(515) 727-1463
Entity
Organization
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
PO BOX 707, JOHNSTON, IA 50131-0707
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/12/2010
Last updated
10/08/2020
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