Evergreen Psychological Services | |
313 College Ave Oskaloosa IA 52577-1700 | |
(641) 670-0388 | |
Not Available |
Full Name | Evergreen Psychological Services |
---|---|
Speciality | Psychologist - Counseling |
Location | 313 College Ave, Oskaloosa, Iowa |
Authorized Official Name and Position | Thomas Potter (PSYCHOLOGIST) |
Authorized Official Contact | 6416700388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evergreen Psychological Services 313 College Ave Oskaloosa IA 52577-1700 Ph: (641) 670-0388 | Evergreen Psychological Services 313 College Ave Oskaloosa IA 52577-1700 Ph: (641) 670-0388 |
NPI Number | 1104148485 |
---|---|
Provider Enumeration Date | 02/27/2010 |
Last Update Date | 02/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104148485 | NPI | - | NPPES |
1982760070 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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