| Mercyone Des Moines Neuropsychology | |
|
12493 University Ave Ste 100 Clive IA 50325-8286 | |
| (515) 358-0060 | |
| Not Available |
| Full Name | Mercyone Des Moines Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12493 University Ave Ste 100, Clive, Iowa |
| Authorized Official Name and Position | Bradley Whipple (COO) |
| Authorized Official Contact | 5153221496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Des Moines Neuropsychology Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 358-0060 | Mercyone Des Moines Neuropsychology 12493 University Ave Ste 100 Clive IA 50325-8286 Ph: (515) 358-0060 |
| NPI Number | 1336792761 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336792761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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