NPI | 1285968230 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANN LYN NEREM Director/Clinical Neuropsychologist 515-689-6411 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 00918) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: IA 00918) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 00918) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IA 00918) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-11-09 |