Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
UIHC LMHC Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
(319) 353-8820
Entity
Organization
Contact information
Practice address
799 MAIN ST, STE 230, DUBUQUE, IA 52001-6844
(563) 382-1277
(563) 382-1287
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
05/02/2016
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