Organization
PSYCHIATRIC SERVICES OF WESTERN IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE HALLEY (OFFICE MANAGER)
(402) 932-2248
Entity
Organization
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(402) 932-2248
(402) 932-3557
Mailing address
2808 N 75TH ST, OMAHA, NE 68134-6861
(402) 932-2248
(402) 932-2248
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38495
IA
Other
Enumeration date
10/13/2009
Last updated
02/17/2010
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