Dr. Russell Ellis Lark
Counseling Psychologist
1200 Valley West Dr Suite 707
West Des Moines
, Iowa 50266-1908
Dr. Russell Ellis Lark
Counseling Psychologist
1200 Valley West Dr Suite 707
West Des Moines
, Iowa 50266-1908
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Russell Ellis Lark
- 1200 Valley West Dr Suite 707
- West Des Moines, IA
- Zip : 50266-1908
- Phone :
Second Address
- Dr. Russell Ellis Lark
- 1200 Valley West Dr Suite 707
- West Des Moines, IA
- Zip : 50266-1908
- Fax : (515) 224-3949
- Phone : (515) 222-1999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 001057 | IA |
National Provider Identifier
| NPI | 1083872642 |
|---|---|
| Provider Name | Dr. Russell Ellis Lark |
| First Address | West Des Moines, IA 50266-1908 |
| Second Address | West Des Moines, IA 50266-1908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2008 |
| Last Update Date | 29/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.