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NPI Code Detail

MEDICARE: DR. KAREN ANN NELSON RIETZ PHD

MEDICARE: DR. KAREN ANN NELSON RIETZ 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
1103TC0700XClinical Psychologist00811IA
2103TC1900XCounseling Psychologist0811IA

General Provider Information

NPI Number : 1295721835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN ANN NELSON RIETZ PHD
Provider Business Mailing Address
First Line : 948 DUCK CREEK DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-8674
Country : US
Telephone Number : 319-382-6930
Fax Number : 319-337-0686
Provider Business Practice Location Address
First Line : 221 E COLLEGE ST STE 211
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1759
Country : US
Telephone Number : 319-382-6930
Fax Number : 319-337-0686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/18/2025

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