IndividualActive
Russell Lark, PH.D.
NPI 1083872642 · Counseling Psychologist · West Des Moines, IA
Provider details
- NPI number
- 1083872642
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 001057 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1200 Valley West Dr
Suite 707
West Des Moines, IA 50266-1908
Phone: (515) 222-1999
Fax: (515) 224-3949
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Valley West Dr
West Des Moines, IA 50266-1908
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.