Healthcare Provider Details
I. General information
NPI: 1629996665
Provider Name (Legal Business Name): IOWA NEUROPSYCHOLOGY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 VALLEY WEST DR
WEST DES MOINES IA
50266-1908
US
IV. Provider business mailing address
2209 COUNTRY CLUB RD
INDIANOLA IA
50125-1199
US
V. Phone/Fax
- Phone: 515-954-0858
- Fax:
- Phone: 515-954-0858
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
LEHR
Title or Position: NEUROPSYCHOLOGIST
Credential: PSYD
Phone: 515-954-0858