NPI 1356597538
Agnes Waterstreet, PSYD
Practice location
- Address
- 1721 N Fillmore St, Davenport, IA 52804-3724
- Phone
- (563) 324-7143
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1356597538
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Aug 2008
- Record last updated
- 7 Aug 2008
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.