MEDICARE: CAROL ANN WOZNIAK-REBHUHN M.A., LMFT

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	106H00000X	Marriage & Family Therapist	00043	IA

General Provider Information

NPI Number	:	1952517278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ANN WOZNIAK-REBHUHN M.A., LMFT

Provider Business Mailing Address
First Line	:	1403 CATTAIL LN
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-9101
Country	:	US
Telephone Number	:	319-364-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 CATTAIL LN
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-9101
Country	:	US
Telephone Number	:	319-364-0612
Fax Number	:

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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