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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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