Organization
AWAKEN TO CHANGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L. DAVIS PH.D. (PSYCHOLOGIST)
(515) 244-7007
Entity
Organization
Contact information
Practice address
950 OFFICE PARK RD, STE 200B, WEST DES MOINES, IA 50265-2549
(515) 244-7007
(515) 244-3238
Mailing address
950 OFFICE PARK RD, STE 200B, WEST DES MOINES, IA 50265-2549
(515) 244-7007
(515) 244-3238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00263
IA
Other
Enumeration date
11/06/2006
Last updated
07/26/2009
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