NPI | 1336633346 |
---|---|
Doing Business As | ON WITH |
Entity Type | Organization |
Authorized Contact | ERIN LUFT-WISKUS Credentialing 515-289-9703 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-09-18 |