KATHRYN E. WIERDA PH.D. PLLC NPI 1427554443

NPI Information

KATHRYN E. WIERDA, PH.D., PLLC is a mental health (including community mental health center) clinic center in West Des Moines, IA. KATHRYN E. WIERDA, PH.D., PLLC NPI is 1427554443. The provider is registered as an organization entity type.

The provider's business location address is:

1045 76TH ST UNIT 3030
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 777-3388
Fax: (515) 777-3387

The provider's authorized official is Kathryn Wierda .
The authorized official title is Owner and has the following contact phone number (515) 777-3388.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 5/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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