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General NPI Number Information
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NPI Number | 1508200064
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Entity Type | Individual
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Provider Name | THOMASIN ELENA MCCOY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 325 E WASHINGTON ST STE 205
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City | IOWA CITY
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State | IA
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Zip | 52240-3959
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Country | US
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Telephone | 319-358-6520
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Fax | 319-538-0093
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Provider Business Mailing Address
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Address Line | 25366 DIAGONAL RD
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-8581
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Country | US
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Telephone | 319-358-6520
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Fax | 319-538-0093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 001251
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 001251
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License Number State | IA
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