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7409 Eagle Crest Blvd Ste G Evansville IN 47715-9136 | |
| (812) 842-4020 | |
| (812) 842-4019 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 7409 Eagle Crest Blvd Ste G, Evansville, Indiana |
| Authorized Official Name and Position | Cheryl Annette Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 631767 Cincinnati OH 45263-1767 Ph: (812) 450-6815 | 7409 Eagle Crest Blvd Ste G Evansville IN 47715-9136 Ph: (812) 842-4020 |
| NPI Number | 1275390502 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275390502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
Evansville Lutheran Family Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Virginia St, Evansville, IN 47711 Phone: 812-424-5620 Fax: 812-424-5624 | |
Empowerment Behavioral Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 John St, Evansville, IN 47713 Phone: 812-454-8829 | |
Paul Mefford Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Powell Ave, Evansville, IN 47713 Phone: 812-306-3053 | |
Southwestern Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 415 Mulberry St, Evansville, IN 47713 Phone: 812-423-7791 Fax: 812-422-7558 | |
Deaconess Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9779 Fax: 812-450-0007 |