Individual
DR. CHRISTINE ROGERS CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
(319) 364-0116
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993
(319) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00970
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306060108
WELLMARK
IA
05
—
1306060108
—
IA
Enumeration date
04/12/2007
Last updated
07/21/2022
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