Agnes Waterstreet in Davenport - Marriage & Family Therapist
Agnes Waterstreet - NPI 1356597538
Agnes Waterstreet is a Marriage & Family Therapist in Davenport, Iowa. Agnes Waterstreet practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Agnes Waterstreet is 1356597538. The last update date is 2008-08-07.
Agnes Waterstreet's current location address is 1721 N Fillmore St, Davenport, Iowa. You can contact this provider via phone number 5633247143. The mailing address for Agnes Waterstreet is 1721 N Fillmore St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes Waterstreet |
|---|---|
| Address | 1721 N Fillmore St, Davenport, Iowa |
| Phone Number | 5633247143 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1356597538 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 1721 N Fillmore St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528043724 |
| Phone Number | 5633247143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 70 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Agnes Waterstreet?
The Agnes Waterstreet has been issued the NPI (National Provider Identifier) 1356597538 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Agnes Waterstreet is physically located?
The Agnes Waterstreet is physically situated at the following address: 1721 N Fillmore St, Davenport, IA, 528043724.
What is Agnes Waterstreet's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Agnes Waterstreet's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
On what date did Agnes Waterstreet receive its 1356597538 assignment from the Centers for Medicare & Medicaid Services?
The Agnes Waterstreet was assigned its 1356597538 on 2008-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Agnes Waterstreet most recently updated or revised?
The information pertaining to Agnes Waterstreet, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-07.
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