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Individual

MARY KATHRYN WALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7900
(319) 384-7901
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7900
(319) 384-7901

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00466
IA
103T00000X
Psychologist
00994
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02643
WELLMARK BCBS
IA
05
0480244
IA
Enumeration date
02/27/2006
Last updated
12/19/2007
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