| Pencroft Psychology Associates Llc | |
|
2600 Grand Ave Suite 102 Des Moines IA 50312-5375 | |
| (515) 218-1901 | |
| (515) 274-6913 |
| Full Name | Pencroft Psychology Associates Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2600 Grand Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Diann Marie Jenison (SOLE MEMBER) |
| Authorized Official Contact | 5152181901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pencroft Psychology Associates Llc 2213 Grand Ave Des Moines IA 50312-5305 Ph: (515) 237-3974 | Pencroft Psychology Associates Llc 2600 Grand Ave Suite 102 Des Moines IA 50312-5375 Ph: (515) 218-1901 |
| NPI Number | 1063878577 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063878577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00679 (Iowa) | Primary |
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