Individual
DR. JAMIE LEE KREMSREITER ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 HAWKINS DR, DEPARTMENT OF PSYCHIATRY, IOWA CITY, IA 52242-1009
(319) 356-1195
Mailing address
200 HAWKINS DR, DEPARTMENT OF PSYCHIATRY, IOWA CITY, IA 52242-1009
(319) 356-1195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
073905
IA
103T00000X
Psychologist
4300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/23/2012
Last updated
05/30/2019
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