Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 111034 | IA |
Y | 102L00000X | Psychologist | 111034 | IA |
Y | 103T00000X | Psychologist | 111034 | IA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 111034 | IA |
N | 103TS0200X | School Psychologist | 111034 | IA |
NPI | 1003576042 |
---|---|
Provider Name | Jennifer L Kuhle |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2021 |
Last Update Date | 17/12/2021 |