Provider Demographics
NPI:1649269341
Name:MCFARLAND, BRANDIS E (MA)
Entity type:Individual
Prefix:
First Name:BRANDIS
Middle Name:E
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 16TH ST NE STE 304
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-4665
Mailing Address - Country:US
Mailing Address - Phone:319-364-4135
Mailing Address - Fax:319-366-6959
Practice Address - Street 1:700 16TH ST NE STE 304
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4665
Practice Address - Country:US
Practice Address - Phone:319-364-4135
Practice Address - Fax:319-366-6959
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1649269341OtherWELLMARK
IA1649269341Medicaid
IA245882OtherMIDLANDS CHOICE