NPI 1558338012
Cedar Centre Psychiatric Group
Practice location
- Address
- 1730 1st Ave NE, Cedar Rapids, IA 52402-5433
- Phone
- (319) 365-3993
- Fax
- (319) 364-0116
- Mailing address
- PO Box 1408, Cedar Rapids, IA 52406-1408
Authorised official
- Name
- Bryan Netolicky
- Title
- Partner
- Phone
- (319) 365-3993
Registered specialties (5)
Psychiatry Physician
Primary
Mental Health Counselor
Psychologist
Counseling Psychologist
Clinical Social Worker
Registry record
- NPI
- 1558338012
- Entity type
- Organization
- NPI issued
- 3 Mar 2006
- Record last updated
- 25 Feb 2016
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.