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NPI Code Detail

MEDICARE: MRS. PEGGY REESE TERPSTRA LMFT

MEDICARE: MRS. PEGGY REESE TERPSTRA 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
1106H00000XMarriage & Family Therapist123IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2IA0104OTHERIAJOHN DEERE HC

General Provider Information

NPI Number : 1992773097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PEGGY REESE TERPSTRA LMFT
Provider Business Mailing Address
First Line : 1003 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-3502
Country : US
Telephone Number : 515-267-1003
Fax Number : 515-267-0100
Provider Business Practice Location Address
First Line : 1003 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-3502
Country : US
Telephone Number : 515-267-1003
Fax Number : 515-267-0100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. PEGGY REESE TERPSTRA LMFT” Practice Location

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