Organization
ELEVATE THERAPY & ASSESSMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE JO SANDBULTE PSY.D. (CO-OWNER)
(712) 240-2785
Entity
Organization
Contact information
Practice address
910 10TH ST, MILFORD, IA 51351-1530
(712) 338-6200
(712) 338-6205
Mailing address
PO BOX 132, MILFORD, IA 51351-0132
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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