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Organization

FAMILY PSYCHOLOGY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE A BADER-SANDS (OFFICE MANAGER)
(319) 378-1199
Entity
Organization

Contact information

Practice address
1221 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-6571
(319) 378-1199
(319) 378-7497
Mailing address
1221 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-6571
(319) 378-1199
(319) 378-7497

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43141
WELLMARK BXBS
IA
Enumeration date
10/17/2005
Last updated
04/20/2008
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