# POEPPE EXPERT PSYCHOLOGICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235737362
- **Authorized official:** MARK POEPPE PSY.D (OWNER)
- **Authorized official phone:** (515) 320-4128

## Contact information

- **Practice address:** 12951 UNIVERSITY AVE STE 204, CLIVE, IA 50325-8293
- **Practice address phone:** (515) 575-3180
- **Mailing address:** 12951 UNIVERSITY AVE STE 204, CLIVE, IA 50325-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 10/12/2020
- **Last updated:** 05/18/2022