| NPI | 1336792761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WHIPPLE COO 515-358-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-10-11 |