Individual
TODD PIETRUSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2130 GRAND AVE STE B, DES MOINES, IA 50312-5384
(515) 270-0280
(515) 270-1647
Mailing address
2130 GRAND AVE STE B, DES MOINES, IA 50312-5384
(515) 270-0280
(515) 270-1647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001069
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000534
HEALTH SERVICE PROVIDER NUMBER
IA
Enumeration date
11/02/2009
Last updated
11/02/2009
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