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NPI Code Detail

MEDICARE: DR. BARBARA WOLF O'ROURKE PHD, LMHC

MEDICARE: DR. BARBARA WOLF O'ROURKE PHD, LMHC
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
1103T00000XPsychologist00433IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100433OTHERIAPSYCHOLOGY LICENSE

General Provider Information

NPI Number : 1043209273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA WOLF O'ROURKE PHD, LMHC
Provider Business Mailing Address
First Line : 673 WESTBURY DRIVE
Second Line : SUITE 201
City : IOWA CITY
State : IA
Zip : 52245-2723
Country : US
Telephone Number : 319-356-6352
Fax Number : 319-358-2367
Provider Business Practice Location Address
First Line : 673 WESTBURY DRIVE
Second Line : SUITE 201
City : IOWA CITY
State : IA
Zip : 52245-2723
Country : US
Telephone Number : 319-356-6352
Fax Number : 319-358-2367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 05/02/2011

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