Provider Demographics
NPI:1093042319
Name:JOHN C. MEIDLINGER, PH.D., P.C.
Entity Type:Organization
Organization Name:JOHN C. MEIDLINGER, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEIDLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:308-384-9594
Mailing Address - Street 1:518 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4212
Mailing Address - Country:US
Mailing Address - Phone:319-351-9023
Mailing Address - Fax:
Practice Address - Street 1:518 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4212
Practice Address - Country:US
Practice Address - Phone:319-351-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE195103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty