Healthcare Provider Details

I. General information

NPI: 1043286446
Provider Name (Legal Business Name): MARIA S OGDEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 UNIVERSITY AVE SUITE 200
WEST DES MOINES IA
50266-8203
US

IV. Provider business mailing address

6000 UNIVERSITY AVE SUITE 200
WEST DES MOINES IA
50266-8203
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-2300
  • Fax: 515-241-2305
Mailing address:
  • Phone: 515-241-2300
  • Fax: 515-241-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number00904
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: