Individual
DR. DANIEL EPHRAIM POTT-PEPPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
400 LOCUST ST, SUITE # 400, DES MOINES, IA 50309-2331
(515) 664-2681
(515) 223-2371
Mailing address
PO BOX 997, DES MOINES, IA 50304-0997
(515) 664-2681
(515) 223-2371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001024
IA
103TC0700X
Clinical Psychologist
3564
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386899086
—
IA
05
—
180710719
—
AR
01
—
P00816719
MEDICARE RAILROAD
IA
Enumeration date
11/21/2008
Last updated
01/11/2017
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