Healthcare Provider Details

I. General information

NPI: 1205004033
Provider Name (Legal Business Name): COUNSELING AND ASSESSMENT SERVICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 2ND ST NE
INDEPENDENCE IA
50644-1915
US

IV. Provider business mailing address

515 2ND ST NE
INDEPENDENCE IA
50644-1915
US

V. Phone/Fax

Practice location:
  • Phone: 319-334-6820
  • Fax: 319-334-7086
Mailing address:
  • Phone: 319-334-6820
  • Fax: 319-334-7086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE M HARPER
Title or Position: DIRECTOR/OWNER LICENSED PSYCHOLOGIS
Credential: ED.D.
Phone: 319-334-6820