| Susan M Guenther, Ph.d., Pc | |
|
2800 Rutland Ave Des Moines IA 50311-4014 | |
| (515) 279-0631 | |
| (515) 279-0631 |
| Full Name | Susan M Guenther, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2800 Rutland Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Susan Guenther (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5152790631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Guenther, Ph.d., Pc 2800 Rutland Ave Des Moines IA 50311-4014 Ph: (515) 279-0631 | Susan M Guenther, Ph.d., Pc 2800 Rutland Ave Des Moines IA 50311-4014 Ph: (515) 279-0631 |
| NPI Number | 1447651963 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 7416269030 |
|---|---|
| Medicare Enrollment ID | O20150709002156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447651963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00502 (Iowa) | Primary |
| Provider Name | Susan M Guenther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821002213 PECOS PAC ID: 6406168020 Enrollment ID: I20150709002260 |
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