Waxwing Psychological Services, Pllc | |
700 16th St Ne Ste 206 Cedar Rapids IA 52402-4665 | |
(319) 382-0751 | |
Not Available |
Full Name | Waxwing Psychological Services, Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 700 16th St Ne Ste 206, Cedar Rapids, Iowa |
Authorized Official Name and Position | Anthony J. Mielke (OWNER, SUPERVISOR, THERAPIST) |
Authorized Official Contact | 3193820751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waxwing Psychological Services, Pllc 700 16th St Ne Ste 206 Cedar Rapids IA 52402-4665 Ph: (319) 382-0751 | Waxwing Psychological Services, Pllc 700 16th St Ne Ste 206 Cedar Rapids IA 52402-4665 Ph: (319) 382-0751 |
NPI Number | 1063133189 |
---|---|
Provider Enumeration Date | 09/07/2022 |
Last Update Date | 09/07/2022 |
Certification Date | 09/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063133189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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