Deaconess Hospital, Inc. | |
520 Mary St Ste 340 Evansville IN 47710-1679 | |
(812) 450-3201 | |
(812) 450-3395 |
Full Name | Deaconess Hospital, Inc. |
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Speciality | Psychologist - Clinical |
Location | 520 Mary St Ste 340, 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 |
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Deaconess Hospital, Inc. Po Box 1230 Evansville IN 47706-1230 Ph: (812) 450-3201 | Deaconess Hospital, Inc. 520 Mary St Ste 340 Evansville IN 47710-1679 Ph: (812) 450-3201 |
NPI Number | 1427663079 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |
Certification Date | 09/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427663079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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