| Organization Name: | THURMAN PSYCHOLOGICAL LLC |
| NPI Number: | 1013149178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSANNA MARIE JONES-THURMAN (OWNER/PSYCHOLOGIST) |
| Mailing Address: | 427 E Kanesville Blvd Suite #406 Council Bluffs |
| State: | IA US |
| Postal Code: | 515039079 |
| Phone Number: | 4027154321 |
| Fax Number: | 4027154343 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 00799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |