| Awaken To Change, P.c. | |
|
950 Office Park Rd Ste 200b West Des Moines IA 50265-2549 | |
| (515) 244-7007 | |
| (515) 244-3238 |
| Full Name | Awaken To Change, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 950 Office Park Rd, West Des Moines, Iowa |
| Authorized Official Name and Position | Sandra L. Davis (PSYCHOLOGIST) |
| Authorized Official Contact | 5152447007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken To Change, P.c. 950 Office Park Rd Ste 200b West Des Moines IA 50265-2549 Ph: (515) 244-7007 | Awaken To Change, P.c. 950 Office Park Rd Ste 200b West Des Moines IA 50265-2549 Ph: (515) 244-7007 |
| NPI Number | 1750450755 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 07/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750450755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00263 (Iowa) | Primary |
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