Provider Demographics
NPI:1669133575
Name:DOZIER THERAPY ASSOCIATES
Entity type:Organization
Organization Name:DOZIER THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:844-451-8255
Mailing Address - Street 1:1660 42ND ST NE STE R
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3066
Mailing Address - Country:US
Mailing Address - Phone:319-213-7478
Mailing Address - Fax:319-289-7017
Practice Address - Street 1:1660 42ND ST NE STE R
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3066
Practice Address - Country:US
Practice Address - Phone:319-213-7478
Practice Address - Fax:319-289-7017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1245411339Medicaid