| Evergreen Psychology And Psychotherapy Associates, Llc | |
|
235 W Patrick St Frederick MD 21701-6934 | |
| (301) 662-4160 | |
| (301) 620-4344 |
| Full Name | Evergreen Psychology And Psychotherapy Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 235 W Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Robert F Mannis (PRESIDENT) |
| Authorized Official Contact | 3016624160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychology And Psychotherapy Associates, Llc 235 W Patrick St Frederick MD 21701-6934 Ph: (301) 662-4160 | Evergreen Psychology And Psychotherapy Associates, Llc 235 W Patrick St Frederick MD 21701-6934 Ph: (301) 662-4160 |
| NPI Number | 1932368628 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932368628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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