| Evolutions In Therapy | |
|
1430 Blue Oaks Blvd Ste 120 Roseville CA 95747-5156 | |
| (707) 481-7744 | |
| (877) 349-6094 |
| Full Name | Evolutions In Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1430 Blue Oaks Blvd Ste 120, Roseville, California |
| Authorized Official Name and Position | Frederick Root Sautter (PRESIDENT) |
| Authorized Official Contact | 7074817744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutions In Therapy 1070 Kirkland Ln Lincoln CA 95648-7209 Ph: (707) 481-7744 | Evolutions In Therapy 1430 Blue Oaks Blvd Ste 120 Roseville CA 95747-5156 Ph: (707) 481-7744 |
| NPI Number | 1548816267 |
|---|---|
| Provider Enumeration Date | 08/18/2019 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 1850723057 |
|---|---|
| Medicare Enrollment ID | O20191108001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548816267 | NPI | - | NPPES |
| Provider Name | Frederick R Sautter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083044960 PECOS PAC ID: 4486086683 Enrollment ID: I20191108001417 |
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