IndividualActive
Gwen Hohman-Bultje, PHD
NPI 1841307592 · Clinical Psychologist · Clear Lake, IA
Provider details
- NPI number
- 1841307592
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 00866 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9400 Wheelerwood Dr
Clear Lake, IA 50428-9167
Phone: (641) 420-0891
Fax: (641) 423-2893
Approximate (ZIP-level) locationGet directions
Mailing address
9400 Wheelerwood Dr
Clear Lake, IA 50428-9167
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.