Evergreen Psychology, Llc in Frederick - Psychologist
Evergreen Psychology, Llc - NPI 1932368628
Evergreen Psychology, Llc is a Psychologist in Frederick, Maryland. Evergreen Psychology, Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Evergreen Psychology, Llc is 1932368628. The last update date is 2008-06-06.
Evergreen Psychology, Llc's current location address is 235 W Patrick St, Frederick, Maryland. You can contact this provider via phone number 3016624160 and fax number 3016204344. The mailing address for Evergreen Psychology, Llc is 235 W Patrick St, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Psychology, Llc |
|---|---|
| Address | 235 W Patrick St, Frederick, Maryland |
| Phone Number | 3016624160 |
| Fax Number | 3016204344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mannis F Robert |
| Credentials | PHD |
| Telephone Number | 3016624160 |
NPI Number Detail
| NPI Number | 1932368628 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 235 W Patrick St |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217016934 |
| Phone Number | 3016624160 |
| Fax Number | 3016204344 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: 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 proce |
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What is the unique 10-digit identifier code assigned to Evergreen Psychology, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Psychology, Llc has been issued the NPI (National Provider Identifier) 1932368628 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evergreen Psychology, Llc?
The Evergreen Psychology, Llc is physically situated at 235 W Patrick St, in the city of Frederick, state of MD, with the postal code 217016934.
What is Evergreen Psychology, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evergreen Psychology, Llc is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When was the Evergreen Psychology, Llc's 1932368628 issued?
The Evergreen Psychology, Llc's 1932368628 was issued on 2008-06-06.
As of what date were the Evergreen Psychology, Llc's details last updated?
The information pertaining to the Evergreen Psychology, Llc, including its address, specialty, and other details, was most recently updated on 2008-06-06.
NPI Number: 1023014131
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