Provider Demographics
NPI:1558568469
Name:ADAMS RIECK, MEGAN MICHELLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MICHELLE
Last Name:ADAMS RIECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:MICHELLE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:ST LUKE'S HOSPITAL PHYSICAL MEDICINE AND REHABILITATION
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5036
Mailing Address - Country:US
Mailing Address - Phone:319-369-7331
Mailing Address - Fax:319-369-8251
Practice Address - Street 1:1026 A AVE NE
Practice Address - Street 2:ST LUKE'S HOSPITAL PM & R DEPT
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-369-7331
Practice Address - Fax:319-369-8251
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA074683103G00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist