Doctor Name: | MRS. ANN M.K. LANDER |
NPI Number: | 1144450206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | 007357 |
Business Practice Address: | 608 N Court St Suite B Carroll, IA - 514012432 |
Business Phone Number: | 7127922991 |
Business Fax Number: | |
Mailing Address: | Po Box 794, Suite B CARROLL |
State: | IA |
Postal Code: | 514010794 |
Phone Number: | 7127922991 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 007357 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |