NPI 1306949896

Innovative Psychiatric Care PC

Organisation Specialist Des Moines, IA

Practice location

Address: 3900 Ingersoll Ave Suite 108, Des Moines, IA 50312-3534
Phone: (515) 279-6200
Fax: (515) 279-4528

Authorised official

Name: Loren a Olson
Title: Owner
Phone: (515) 279-6200

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Registry record

NPI: 1306949896
Entity type: Organization
NPI issued: 7 Sep 2006
Record last updated: 30 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.