Provider Demographics
NPI:1639883630
Name:DUBUQUE PSYCHOLOGY
Entity Type:Organization
Organization Name:DUBUQUE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:563-845-2675
Mailing Address - Street 1:988 W 3RD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6666
Mailing Address - Country:US
Mailing Address - Phone:563-845-2675
Mailing Address - Fax:
Practice Address - Street 1:988 W 3RD ST STE 203
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6666
Practice Address - Country:US
Practice Address - Phone:563-845-2675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty