Organization
STATE UNIVERSITY OF IOWA
Active
Other names
Wendell Johnson Speech & Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KAY MILLER (CLINICAL RECEPTIONIST BILLING CLERK)
(319) 335-8703
Entity
Organization
Contact information
Practice address
250 HAWKINS DRIVE, THE UNIVERSITY OF IOWA, IOWA CITY, IA 52242-1012
(319) 335-8736
(319) 335-8851
Mailing address
250 HAWKINS DRIVE, THE UNIVERSITY OF IOWA, IOWA CITY, IA 52242-1012
(319) 335-8736
(319) 335-8851
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099861
—
IA
01
—
01118
BLUE CROSS BLUE SHIELD OF
IA
Enumeration date
02/02/2007
Last updated
09/12/2011
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