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STEVEN WAYNE ANDERSON PHD

Clinical Neuropsychologist

Iowa City, Iowa

Provider NPI: 1184790560

Provider Information:
 STEVEN WAYNE ANDERSON PHD
Gender: M
Not Sole Proprietor

Practice Location:
200 HAWKINS DR  IOWA CITY, IA 52242 US
Tel: 319-356-1616  Fax: 319-356-4505

Business Mailing Address:
200 HAWKINS DR  IOWA CITY, IA 52242 US
Tel: 319-356-1616  Fax: 319-356-4505

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IA00631
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IA00217

Other Provider Identifiers:

IssuerNumberStateType
0740969IA05
WELLMARK BCBS28233IA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS IA - Page 1



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