Mrs. Joan Tamara
Addiction Psychologist (Substance Use Disorder)
7405 University Ave Ste 3d
Clive
, Iowa 50325-1343
Mrs. Joan Tamara
Addiction Psychologist (Substance Use Disorder)
7405 University Ave Ste 3d
Clive
, Iowa 50325-1343
(515) 506-5058
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mrs. Joan Tamara
- 7405 University Ave Ste 3d
- Clive, IA
- Zip : 50325-1343
- Fax : (515) 506-5058
- Phone : (515) 255-1566
Second Address
- Mrs. Joan Tamara
- 7405 University Ave Ste 3d
- Clive, IA
- Zip : 50325-1343
- Fax : (515) 506-5058
- Phone : (515) 255-1566
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1619054335 | IA |
National Provider Identifier
| NPI | 1588178537 |
|---|---|
| Provider Name | Mrs. Joan Tamara |
| First Address | Clive, IA 50325-1343 |
| Second Address | Clive, IA 50325-1343 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2017 |
| Last Update Date | 12/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1821155284 | (05) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.