| Riversedge Psychological Services | |
|
8 Burgundy Ct Imperial MO 63052-2098 | |
| (314) 853-6667 | |
| Not Available |
| Full Name | Riversedge Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8 Burgundy Ct, Imperial, Missouri |
| Authorized Official Name and Position | Jennifer Lynn Evans (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3148536667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riversedge Psychological Services Po Box 793 Imperial MO 63052-0793 Ph: (314) 853-6667 | Riversedge Psychological Services 8 Burgundy Ct Imperial MO 63052-2098 Ph: (314) 853-6667 |
| NPI Number | 1679319131 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679319131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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