Individual
DR. HARRIET A PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LISW
Contact information
Practice address
718 BRIDGE AVE, SUITE 6, DAVENPORT, IA 52803-5620
(563) 381-8088
(563) 381-8077
Mailing address
PO BOX 2783, DAVENPORT, IA 52809-2783
(563) 381-8088
(563) 381-8077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00851
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457481
—
IA
01
—
1073522306
TRICARE/CHAMPUS
—
01
—
216358
IOWA HEALTH
IA
01
—
238252
MIDLANDS CHOICE
IA
01
—
246562
COMPSYCH
IA
01
—
36005
WELLMARK
IA
01
—
396294
VALUE OPTIONS RAILROAD
IA
01
—
486768000
MAGELLAN
IA
01
—
800013870
RAILROAD MEDICARE
IA
Enumeration date
08/05/2006
Last updated
02/08/2010
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