| NPI | 1356705495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN KIMPTON HEALD Licensed Psychologist 319-538-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 001247) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |