Individual
DENNIS M KIVLIGHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4200
(319) 353-8383
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4200
(319) 353-8383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
107800
IA
103TP2701X
Group Psychotherapy Psychologist
107800
IA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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