Basic Information
| Provider Information | |||||||||
| NPI: | 1598380693 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEIGHBOUR | ||||||||
| FirstName: | TAYLAR | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6200 AURORA AVE STE 103E | ||||||||
| Address2: | |||||||||
| City: | URBANDALE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503226338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5154016886 | ||||||||
| FaxNumber: | 5154015237 | ||||||||
| Practice Location | |||||||||
| Address1: | 6200 AURORA AVE STE 103E | ||||||||
| Address2: | |||||||||
| City: | URBANDALE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503226338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5154016886 | ||||||||
| FaxNumber: | 5154015237 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2020 | ||||||||
| LastUpdateDate: | 06/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 099866 | IA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.