Provider Demographics
NPI:1962756791
Name:PULSCHER, MARY JOYCE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:JOYCE
Last Name:PULSCHER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 OFFICE PARK RD
Mailing Address - Street 2:SUITE206
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2587
Mailing Address - Country:US
Mailing Address - Phone:515-979-6370
Mailing Address - Fax:
Practice Address - Street 1:1001 OFFICE PARK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2587
Practice Address - Country:US
Practice Address - Phone:515-979-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01078101YA0400X
IA00687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)