MEDICARE: GWEN HOHMAN-BULTJE PHD

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
1	103TC0700X	Clinical Psychologist	00866	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	04822	OTHER	IA	WELLMARK

General Provider Information

NPI Number	:	1841307592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GWEN HOHMAN-BULTJE PHD

Provider Business Mailing Address
First Line	:	9400 WHEELERWOOD DR
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-9167
Country	:	US
Telephone Number	:	641-420-0891
Fax Number	:	641-423-2893

Provider Business Practice Location Address
First Line	:	9400 WHEELERWOOD DR
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-9167
Country	:	US
Telephone Number	:	641-420-0891
Fax Number	:	641-423-2893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	03/04/2019

Similar Medicare Providers

1225281140 — MS. DEBRA K THOMAS RN
Practice Location Address:

13895 COUNTY HIGHWAY 4
LAKE PARK, MN
56554-9167

Practice Phone: 218-849-3757
Practice Fax:

1689336273 — MORGAN F RICE PA-C
Practice Location Address:

11564 OLD HAMBURG RD
WHITMORE LAKE, MI
48189-9167

Practice Phone: 734-276-1033
Practice Fax:

1154077261 — LUKE FISHER
Practice Location Address:

9167 LAKE SHORE CT
NEW HAVEN, IN
46774-2749

Practice Phone: 260-241-8431
Practice Fax:

1679575278 — ABCM CORPORATION
Practice Location Address:

400 US HIGHWAY 18 W
CLEAR LAKE, IA
50428-1108

Practice Phone: 641-357-5244
Practice Fax: 641-357-7154

1841292448 — ABCM CORPORATION
Practice Location Address:

401 W 10TH AVE N
CLEAR LAKE, IA
50428-4202

Practice Phone: 641-357-5244
Practice Fax:

1881689958 — DR. LYLE H ABBAS DC ACUPUNCTURIST
Practice Location Address:

211 S 8TH ST
CLEAR LAKE, IA
50428-1909

Practice Phone: 641-357-1636
Practice Fax:

Directions to “ GWEN HOHMAN-BULTJE PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.