Individual
DANIEL L EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.S.
Contact information
Practice address
2750 SAINT FRANCIS DR, WATERLOO, IA 50702-5644
(319) 272-8922
(319) 272-8929
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
433
IA
Other
Enumeration date
06/28/2006
Last updated
07/13/2007
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