| Doctor Name: | JOHN UPSHAW |
| NPI Number: | 1225066673 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | 5588 |
| Business Practice Address: | 2802 Orchard Dr Cedar Falls, IA - 506135898 |
| Business Phone Number: | 3192689700 |
| Business Fax Number: | 3192681934 |
| Mailing Address: | 2101 Kimball Ave, Ll14 WATERLOO |
| State: | IA |
| Postal Code: | 507025063 |
| Phone Number: | 3192721590 |
| Fax Number: | 3192721535 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |