Evergreen Mental Health & Assessment, LLC

NPI #1073225090 in Clay, New York

Provider Information

NPI Number
1073225090
Entity Type
Organization
Organization Name
Evergreen Mental Health & Assessment, LLC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Dec 21, 2022
Last Updated
Dec 21, 2022

Practice Location

Address
4758 LYNNVILLE WAY
City
Clay
ZIP Code
13041-8990
Phone
(240) 274-0012

Authorized Official

Name
DR. ALEXANDER JOSEPH HINNEBUSCH, PH.D.
Title
OWNER
Phone
(240) 274-0012

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Psychologist - ClinicalClinical

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