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NPI Code Detail

MEDICARE: MRS. DARLA JOY DE HAAN MA

MEDICARE: MRS. DARLA JOY DE HAAN MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist00099IA

General Provider Information

NPI Number : 1205026812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARLA JOY DE HAAN MA
Provider Business Mailing Address
First Line : 315 MAIN ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1918
Country : US
Telephone Number : 641-628-1723
Fax Number : 641-628-1723
Provider Business Practice Location Address
First Line : 315 MAIN ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1918
Country : US
Telephone Number : 641-628-1723
Fax Number : 641-628-1723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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Directions to “ MRS. DARLA JOY DE HAAN MA” Practice Location

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