| NPI | 1891862934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY D RICHARDSON Owner 515-490-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 02464) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-05-08 |