Individual
DR. DENA Z OLWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 DOUGLAS STREET, SUITE 504, SIOUX CITY, IA 51104-1471
(712) 258-1000
(712) 252-1100
Mailing address
401 DOUGLAS ST STE 504, SIOUX CITY, IA 51101-1471
(712) 258-1000
(712) 252-1100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00703
IA
103TC0700X
Clinical Psychologist
00703
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157180
—
IA
Enumeration date
12/02/2005
Last updated
08/01/2021
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