Provider Demographics
NPI:1558553891
Name:CENTER FOR INTERPERSONAL EFFECTIVENESS, PC
Entity Type:Organization
Organization Name:CENTER FOR INTERPERSONAL EFFECTIVENESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:515-289-9136
Mailing Address - Street 1:2525 N. ANKENY BLVD.
Mailing Address - Street 2:STE 113
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021
Mailing Address - Country:US
Mailing Address - Phone:515-289-9136
Mailing Address - Fax:515-289-9139
Practice Address - Street 1:2525 N. ANKENY BLVD.
Practice Address - Street 2:STE 113
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021
Practice Address - Country:US
Practice Address - Phone:515-289-9136
Practice Address - Fax:515-289-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00913251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health