Gwen Hohman-Bultje in Clear Lake - Clinical
Gwen Hohman-Bultje - NPI 1841307592
Gwen Hohman-Bultje is a Clinical in Clear Lake, Iowa. Gwen Hohman-Bultje practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen Hohman-Bultje is 1841307592. The last update date is 2019-03-04.
Gwen Hohman-Bultje's current location address is 9400 Wheelerwood Dr, Clear Lake, Iowa. You can contact this provider via phone number 6414200891 and fax number 6414232893. The mailing address for Gwen Hohman-Bultje is 9400 Wheelerwood Dr, Clear Lake, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Hohman-Bultje |
|---|---|
| Address | 9400 Wheelerwood Dr, Clear Lake, Iowa |
| Phone Number | 6414200891 |
| Fax Number | 6414232893 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841307592 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
| Address | 9400 Wheelerwood Dr |
|---|---|
| City | Clear Lake |
| State | Iowa (IA) |
| Post Code | 504289167 |
| Phone Number | 6414200891 |
| Fax Number | 6414232893 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 866 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 232330 | IA | -- | |
| 4822 | IA | WELLMARK |
Post Comment/ Review Below
What is the Gwen Hohman-Bultje's 1841307592?
The Gwen Hohman-Bultje's NPI (National Provider Identifier) Number is 1841307592. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gwen Hohman-Bultje is physically located?
The Gwen Hohman-Bultje is situated at the following address: 9400 Wheelerwood Dr, Clear Lake, IA 504289167.
What is the Gwen Hohman-Bultje's specialty and taxonomy code?
The Gwen Hohman-Bultje's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Gwen Hohman-Bultje receive its 1841307592 assignment from the Centers for Medicare & Medicaid Services?
The Gwen Hohman-Bultje was assigned its 1841307592 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date were the Gwen Hohman-Bultje's details last updated?
The information pertaining to the Gwen Hohman-Bultje, including its address, specialty, and other details, was most recently updated on 2019-03-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN