Individual provider · Type 1 NPI

Staci Lynn Fosenburg, PhD

Psychologist · Des Moines, IA

NPI number 1477073179 Active

Practice location

3509 E 29th St
Des Moines, IA 50317-4253

Call (515) 248-1600 Map

Fax (515) 248-1610

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1477073179

Staci Lynn Fosenburg, PhD's National Provider Identifier is 1477073179, issued on Jun 23, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Des Moines, IA. The record was last updated on Sep 11, 2025.