| Evergreen Psychological Services | |
|
313 College Ave Oskaloosa IA 52577-1700 | |
| (641) 670-0388 | |
| Not Available |
| Full Name | Evergreen Psychological Services |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 313 College Ave, Oskaloosa, Iowa |
| Authorized Official Name and Position | Thomas Potter (PSYCHOLOGIST) |
| Authorized Official Contact | 6416700388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychological Services 313 College Ave Oskaloosa IA 52577-1700 Ph: (641) 670-0388 | Evergreen Psychological Services 313 College Ave Oskaloosa IA 52577-1700 Ph: (641) 670-0388 |
| NPI Number | 1104148485 |
|---|---|
| Provider Enumeration Date | 02/27/2010 |
| Last Update Date | 02/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104148485 | NPI | - | NPPES |
| 1982760070 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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