Healthcare Provider Details

I. General information

NPI: 1902910680
Provider Name (Legal Business Name): DEANN NEREM PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE EAST TOWER SUITE A100
DES MOINES IA
50314-2610
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50306-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-358-0011
  • Fax: 515-358-0099
Mailing address:
  • Phone: 515-643-4374
  • Fax: 515-643-2784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number0918
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: