| Two Rivers Psychological Services, Pc | |
|
4900 University Ave Ste 210 Des Moines IA 50311-3342 | |
| (515) 277-5989 | |
| (515) 277-6180 |
| Full Name | Two Rivers Psychological Services, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 4900 University Ave Ste 210, Des Moines, Iowa |
| Authorized Official Name and Position | Brenda S Larsen (BUSINESS MANAGER) |
| Authorized Official Contact | 3198653027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Psychological Services, Pc 4900 University Ave Ste 210 Des Moines IA 50311-3342 Ph: (515) 277-5989 | Two Rivers Psychological Services, Pc 4900 University Ave Ste 210 Des Moines IA 50311-3342 Ph: (515) 277-5989 |
| NPI Number | 1194819128 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194819128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00846 (Iowa) | Primary |
| 104100000X | Social Worker | 00187 (Iowa) | Primary |
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