Evans Neuropsychology And Therapy | |
1001 Office Park Rd 301 West Des Moines IA 50265-2587 | |
(515) 985-8209 | |
(515) 608-4405 |
Full Name | Evans Neuropsychology And Therapy |
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Speciality | Psychologist |
Location | 1001 Office Park Rd, West Des Moines, Iowa |
Authorized Official Name and Position | Catherine Evans (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5159858209 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evans Neuropsychology And Therapy 1001 Office Park Rd 301 West Des Moines IA 50265-2587 Ph: (515) 985-8209 | Evans Neuropsychology And Therapy 1001 Office Park Rd 301 West Des Moines IA 50265-2587 Ph: (515) 985-8209 |
NPI Number | 1811387046 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 01/26/2015 |
Medicare PECOS PAC ID | 4981929031 |
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Medicare Enrollment ID | O20150211001902 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811387046 | NPI | - | NPPES |
1124005129 | Medicaid | IA | |
620003472 | Other | IA | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 00666 (Iowa) | Primary |
Provider Name | Catherine Evans |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124005129 PECOS PAC ID: 6002950003 Enrollment ID: I20100215000093 |
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