NPI | 1336792761 |
---|---|
Doing Business As | MERCYONE DES MOINES NEUROPSYCHOLOGY |
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 |