Organization
POEPPE EXPERT PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK POEPPE PSY.D (OWNER)
(515) 320-4128
Entity
Organization
Contact information
Practice address
12951 UNIVERSITY AVE STE 204, CLIVE, IA 50325-8293
(515) 575-3180
Mailing address
12951 UNIVERSITY AVE STE 204, CLIVE, IA 50325-8293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/12/2020
Last updated
05/18/2022
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