Doctor Name: | DR. STEVEN C DAWDY |
NPI Number: | 1144264623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 363 |
Business Practice Address: | 1601 Nw 114th St Suite 349 Clive, IA - 503257007 |
Business Phone Number: | 5152247233 |
Business Fax Number: | 5152240937 |
Mailing Address: | 1601 Nw 114th St, Suite 349 CLIVE |
State: | IA |
Postal Code: | 503257007 |
Phone Number: | 5152247233 |
Fax Number: | 5152240937 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |