NPI 1205116712

Jra

Organisation Clinical Psychologist Johnston, IA

Practice location

Address: 5415 NW 88th St Suite 100, Johnston, IA 50131-2950
Phone: (626) 377-6844

Authorised official

Name: Joel Edgar Ashby
Title: Psychologist
Phone: (626) 377-6844

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 001166 (IA)

Other Psychologist providers in Iowa →

Registry record

NPI: 1205116712
Entity type: Organization
NPI issued: 29 Aug 2011
Record last updated: 29 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.