Organization
DONALD M. KAESSER PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD M. KAESSER PHD (CEO)
(515) 240-7997
Entity
Organization
Contact information
Practice address
1922 INGERSOLL AVE, DES MOINES, IA 50309-3321
(515) 240-7997
(515) 267-0556
Mailing address
1922 INGERSOLL AVE, DES MOINES, IA 50309-3321
(515) 240-7997
(515) 267-0556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0550
IA
103T00000X
Psychologist
0550
IA
103TC1900X
Counseling Psychologist
Primary
0550
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047894
—
IA
Enumeration date
11/16/2013
Last updated
04/25/2016
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