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NPI Code Detail

MEDICARE: MR. ADAM MATTHEW CAULEY

MEDICARE: MR. ADAM MATTHEW CAULEY
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 Therapist

General Provider Information

NPI Number : 1437895182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM MATTHEW CAULEY
Provider Business Mailing Address
First Line : 11 GLENBROOK DR SE APT 102
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-1067
Country : US
Telephone Number : 815-973-4949
Fax Number :
Provider Business Practice Location Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-382-8660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2022
Last Update Date : 05/06/2022

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