KATHERINE L. NYDAM OLIVIER LISW LLC NPI 1932613254

NPI Information

NPI: 1932613254
Provider Name: KATHERINE L. NYDAM OLIVIER, LISW LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
757 W BENTON ST
IOWA CITY, IA
ZIP 52246
Phone: (319) 339-4757
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KATHERINE L. NYDAM OLIVIER, LISW LLC is a mental health (including community mental health center) clinic center in Iowa City, IA. KATHERINE L. NYDAM OLIVIER, LISW LLC NPI is 1932613254. The provider is registered as an organization entity type.

The provider's business location address is:

757 W BENTON ST
IOWA CITY, IA
ZIP 52246-953
Phone: (319) 339-4757

The provider's authorized official is Katherine L Nydam Olivier .
The authorized official title is President and has the following contact phone number (319) 339-4757.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 11/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1041CO700X	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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