Evergreen Psychological Services

NPI #1104148485 in Oskaloosa, Iowa

Provider Information

NPI Number: 1104148485
Entity Type: Organization
Organization Name: Evergreen Psychological Services
Primary Specialty: Psychologist - Counseling
Enumeration Date: Feb 27, 2010
Last Updated: Feb 27, 2010

Practice Location

Address: 313 COLLEGE AVE
City: Oskaloosa
State: Iowa
ZIP Code: 52577-1700
Phone: (641) 670-0388

Authorized Official

Name: DR. THOMAS POTTER, PH.D.
Title: PSYCHOLOGIST
Phone: (641) 670-0388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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