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NPI Code Detail

MEDICARE: DENNIS D FELTZ LMHC

MEDICARE: DENNIS D FELTZ 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
1101YM0800XMental Health Counselor00053IA

General Provider Information

NPI Number : 1548206014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS D FELTZ LMHC
Provider Business Mailing Address
First Line : 2101 KIMBALL AVE
Second Line : LL14
City : WATERLOO
State : IA
Zip : 50702-5063
Country : US
Telephone Number : 319-272-1590
Fax Number : 319-272-1535
Provider Business Practice Location Address
First Line : 2802 ORCHARD DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-5898
Country : US
Telephone Number : 319-268-9700
Fax Number : 319-268-1934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/08/2007

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Directions to “ DENNIS D FELTZ LMHC” Practice Location

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