Organization
MERCY CLINICS, INC
Active
Other names
MercyOne Des Moines Neuropsychology
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHIPPLE (COO)
(515) 358-6956
Entity
Organization
Contact information
Practice address
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8286
(515) 358-0060
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
10/11/2024
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