| Evergreen Psychiatry, Llc | |
|
950 N Washington St Ste 339 Alexandria VA 22314-6499 | |
| (901) 409-6005 | |
| Not Available |
| Full Name | Evergreen Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 950 N Washington St Ste 339, Alexandria, Virginia |
| Authorized Official Name and Position | Amy Fehrmann (OWNER) |
| Authorized Official Contact | 9014096005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychiatry, Llc 4621 34th St S Arlington VA 22206-1701 Ph: (901) 409-6005 | Evergreen Psychiatry, Llc 950 N Washington St Ste 339 Alexandria VA 22314-6499 Ph: (901) 409-6005 |
| NPI Number | 1962235788 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962235788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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