Heron Consulting, Inc. | |
603 Sunrise Blvd Decorah IA 52101-2527 | |
(563) 419-1124 | |
(563) 387-2303 |
Full Name | Heron Consulting, Inc. |
---|---|
Speciality | Psychologist - Clinical |
Location | 603 Sunrise Blvd, Decorah, Iowa |
Authorized Official Name and Position | Joseph L. Breitenstein (PRESIDENT) |
Authorized Official Contact | 5634191124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heron Consulting, Inc. 603 Sunrise Blvd Decorah IA 52101-2527 Ph: (563) 419-1124 | Heron Consulting, Inc. 603 Sunrise Blvd Decorah IA 52101-2527 Ph: (563) 419-1124 |
NPI Number | 1093156416 |
---|---|
Provider Enumeration Date | 07/14/2013 |
Last Update Date | 07/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093156416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 841 (Iowa) | Primary |
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