Organization Name: | AMES THERAPY SERVICES P C |
NPI Number: | 1124099775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH DODGE (ADMINISTRATOR) |
Mailing Address: | 3600 Lincoln Way Suite 4 Ames |
State: | IA US |
Postal Code: | 500147595 |
Phone Number: | 5152394410 |
Fax Number: | 5156634885 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |