Individual
DR. DAVID S. DEMAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
715 SW ANKENY RD, ON WITH LIFE, ANKENY, IA 50023-9798
(515) 965-1339
(515) 964-0567
Mailing address
715 SW ANKENY RD, ON WITH LIFE, ANKENY, IA 50023-9798
(515) 965-1339
(515) 964-0567
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
00971
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457184
—
IA
05
—
100251333-00
—
NE
01
—
38361
WELLMARK
IA
05
—
6552280
—
SD
Enumeration date
06/21/2006
Last updated
09/26/2023
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