Healthcare Provider Details

I. General information

NPI: 1528299302
Provider Name (Legal Business Name): SHELLEY RAE CLYMER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DR STE 612
WEST DES MOINES IA
50266-1907
US

IV. Provider business mailing address

1200 VALLEY WEST DR STE 612
WEST DES MOINES IA
50266-1907
US

V. Phone/Fax

Practice location:
  • Phone: 515-401-1101
  • Fax: 855-595-2702
Mailing address:
  • Phone: 515-401-1101
  • Fax: 855-595-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000335
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: