| Evergreen Health Center, Pc | |
|
1859 S Jefferson Ave Lebanon MO 65536-4221 | |
| (417) 588-7923 | |
| (417) 588-7924 |
| Full Name | Evergreen Health Center, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1859 S Jefferson Ave, Lebanon, Missouri |
| Authorized Official Name and Position | Amy Snook (OFFICE MANAGER) |
| Authorized Official Contact | 4175887923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health Center, Pc 1859 S Jefferson Ave Lebanon MO 65536-4221 Ph: (417) 588-7923 | Evergreen Health Center, Pc 1859 S Jefferson Ave Lebanon MO 65536-4221 Ph: (417) 588-7923 |
| NPI Number | 1306942693 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306942693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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