Provider Demographics
NPI:1932331808
Name:KAUFMAN, DHYANA (LMHC)
Entity Type:Individual
Prefix:
First Name:DHYANA
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 E BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2600
Mailing Address - Country:US
Mailing Address - Phone:319-337-6998
Mailing Address - Fax:319-354-1679
Practice Address - Street 1:616 E BLOOMINGTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2600
Practice Address - Country:US
Practice Address - Phone:319-337-6998
Practice Address - Fax:319-354-1679
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health