Individual provider · Type 1 NPI
John Charles Iverson, PhD
Intellectual & Developmental Disabilities Psychologist · Waukesha, WI
NPI number
1497818520
Active
Practice location
500 Riverview Ave
Waukesha, WI 53188-3632
Fax (262) 548-7656
Mailing address
16960 Burleigh Pl
Brookfield, WI 53005-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1323 (WI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1497818520
John Charles Iverson, PhD's National Provider Identifier is 1497818520, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.