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NPI Code Detail

MEDICARE: MONA MCCALLEY-WHITTERS PHD

MEDICARE: MONA MCCALLEY-WHITTERS 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
1103T00000XPsychologist00685IA

General Provider Information

NPI Number : 1861538142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA MCCALLEY-WHITTERS PHD
Provider Business Mailing Address
First Line : PO BOX 2237
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52406-2237
Country : US
Telephone Number : 319-393-0004
Fax Number : 319-393-0900
Provider Business Practice Location Address
First Line : 3705 RIVER RIDGE DR NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-7596
Country : US
Telephone Number : 319-393-0004
Fax Number : 319-393-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ MONA MCCALLEY-WHITTERS PHD” Practice Location

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