| Poeppe Expert Psychological Services Pllc | |
|
12951 University Ave Ste 204 Clive IA 50325-8293 | |
| (515) 575-3180 | |
| Not Available |
| Full Name | Poeppe Expert Psychological Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12951 University Ave Ste 204, Clive, Iowa |
| Authorized Official Name and Position | Mark Poeppe (OWNER) |
| Authorized Official Contact | 5153204128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poeppe Expert Psychological Services Pllc 12951 University Ave Ste 204 Clive IA 50325-8293 Ph: () - | Poeppe Expert Psychological Services Pllc 12951 University Ave Ste 204 Clive IA 50325-8293 Ph: (515) 575-3180 |
| NPI Number | 1235737362 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 3577975812 |
|---|---|
| Medicare Enrollment ID | O20201210001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235737362 | NPI | - | NPPES |
| Provider Name | Mark R Poeppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962980771 PECOS PAC ID: 0749539906 Enrollment ID: I20180821002398 |
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