Provider Demographics
NPI:1275595829
Name:VERNON P. VARNER, M.D., J.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VERNON P. VARNER, M.D., J.D., A PROFESSIONAL CORPORATION
Other - Org Name:NEUROPSYCHIATRIC CLINIC & COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-337-6483
Mailing Address - Street 1:2101 ACT CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9512
Mailing Address - Country:US
Mailing Address - Phone:319-337-6483
Mailing Address - Fax:319-337-4208
Practice Address - Street 1:2101 ACT CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9512
Practice Address - Country:US
Practice Address - Phone:319-337-6483
Practice Address - Fax:319-337-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18577101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty