NPI | 1205815495 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK CAMPBELL President 515-252-2522 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 00899) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2017-12-28 |