MEDICARE: DR. DAVID D CORDRY PH.D.

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	1251	KS

General Provider Information

NPI Number	:	1396726956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID D CORDRY PH.D.

Provider Business Mailing Address
First Line	:	2213 2ND ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52241
Country	:	US
Telephone Number	:	319-688-3366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2213 2ND ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52241-1205
Country	:	US
Telephone Number	:	319-688-3366
Fax Number	:

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/23/2024

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Directions to “ DR. DAVID D CORDRY PH.D.” Practice Location

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