Provider Demographics
NPI:1992717672
Name:KONAR, ARTHUR H (PHD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:H
Last Name:KONAR
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 1:3243 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-4579
Mailing Address - Country:US
Mailing Address - Phone:515-292-3640
Mailing Address - Fax:515-277-6180
Practice Address - Street 1:4900 UNIVERSITY AVE STE 210
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50311-3342
Practice Address - Country:US
Practice Address - Phone:515-277-5989
Practice Address - Fax:515-277-6180
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA846103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAAPPLIEDMedicare ID - Type Unspecified