Individual
DR. MIA CHRISTINE HEGARTY ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1519 S PHILLIPS ST, ALGONA, IA 50511-3649
(515) 295-7714
(515) 295-4505
Mailing address
1519 S PHILLIPS ST, ALGONA, IA 50511-3649
(515) 295-7714
(515) 295-4505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71759
WELLMARK
IA
Enumeration date
10/06/2006
Last updated
06/14/2022
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