Waxwing Psychological Services, Pllc
NPI #1063133189 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1063133189
- Entity Type
- Organization
- Organization Name
- Waxwing Psychological Services, Pllc
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 7, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 700 16TH ST NE STE 206
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52402-4665
- Phone
- (319) 382-0751
Authorized Official
- Name
- DR. ANTHONY J. MIELKE, DMFT, LMFT
- Title
- OWNER, SUPERVISOR, THERAPIST
- Phone
- (319) 382-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Marriage & Family Therapist |
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