Provider Demographics
NPI:1780613356
Name:HARTSON, JOHN NAMON (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NAMON
Last Name:HARTSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 ROCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-3125
Mailing Address - Country:US
Mailing Address - Phone:319-338-9960
Mailing Address - Fax:319-338-9492
Practice Address - Street 1:1027 ROCHESTER AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-3125
Practice Address - Country:US
Practice Address - Phone:319-338-9960
Practice Address - Fax:319-338-9492
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA496103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist