Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 33309 | TX |
Y | 103G00000X | Clinical Psychologist | 33309 | TX |
Y | 103TC0700X | Clinical Psychologist | 33309 | TX |
NPI | 1023137908 |
---|---|
Provider Name | Gregory Wayne Schrimsher |
First Address | Des Moines, IA 50310-5885 |
Second Address | Des Moines, IA 50310-5753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 29/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200109450A | (05) | OK |