Waterstreet, Agnes
Waterstreet, Agnes is an sole proprietor health care provider with primary practice located at 1721 N Fillmore St , Davenport IA 52804-3724. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Waterstreet, Agnes can be contacted via phone (563) 324-7143.Contact Information
Primary practice address
1721 N Fillmore St
Davenport IA 52804-3724
Phone: (563) 324-7143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 00070 | Iowa |
Profile Details
| NPI number | 1356597538 |
|---|---|
| LBN Legal business name | Waterstreet, Agnes |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2008 |
| Last updated | Aug 7th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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