Clinical Assessment & Treatment Services Pc in Des Moines - Clinical

Clinical Assessment & Treatment Services Pc - NPI 1760530356

Clinical Assessment & Treatment Services Pc is a Clinical in Des Moines, Iowa. Clinical Assessment & Treatment Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clinical Assessment & Treatment Services Pc is 1760530356. The last update date is 2012-07-19.

Clinical Assessment & Treatment Services Pc's current location address is 4313 University Ave, Des Moines, Iowa. You can contact this provider via phone number 5152554211 and fax number 5152554196. The mailing address for Clinical Assessment & Treatment Services Pc is 4313 University Ave, Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clinical Assessment & Treatment Services Pc
Address 4313 University Ave, Des Moines, Iowa
Phone Number 5152554211
Fax Number 5152554196
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dawson Lee Bruce
Credentials PSY.D.
Telephone Number 5152554211

NPI Number Detail

NPI Number 1760530356
Provider Enumeration Date 2007-01-08
Last Updated Date 2012-07-19

Provider Mailing Address Detail

Address 4313 University Ave
City Des Moines
State Iowa (IA)
Post Code 503113423
Phone Number 5152554211
Fax Number 5152554196

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 750
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43674 IA WELLMARK BCBS

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FAQs about Clinical Assessment & Treatment Services Pc

What is the unique identifier code issued to Clinical Assessment & Treatment Services Pc by the Centers for Medicare & Medicaid Services?

The Clinical Assessment & Treatment Services Pc has been assigned the NPI (National Provider Identifier) 1760530356. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Clinical Assessment & Treatment Services Pc is geographically located?

The Clinical Assessment & Treatment Services Pc is physically situated at the following location: 4313 University Ave, Des Moines, IA, 503113423.

What is Clinical Assessment & Treatment Services Pc's area of expertise and its corresponding taxonomy classification?

The Clinical Assessment & Treatment Services Pc's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date did Clinical Assessment & Treatment Services Pc receive its 1760530356 assignment from the Centers for Medicare & Medicaid Services?

The Clinical Assessment & Treatment Services Pc was assigned its 1760530356 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Clinical Assessment & Treatment Services Pc's details last updated?

The information pertaining to the Clinical Assessment & Treatment Services Pc, including its address, specialty, and other details, was most recently updated on 2012-07-19.

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