Evergreen Psychological Services, LLC
NPI #1639615206 in Zionsville, Indiana
Provider Information
- NPI Number
- 1639615206
- Entity Type
- Organization
- Organization Name
- Evergreen Psychological Services, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 6, 2017
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 1155 PARKWAY DR. STE 200
- City
- Zionsville
- State
- Indiana
- ZIP Code
- 46077-8541
- Phone
- (317) 520-4650
Authorized Official
- Name
- MR. RANDALL A. YOUNG, MA, LMHC, LICDC, MAC
- Title
- VICE PRESIDENT/BUSINESS ADMINISTRAT
- Phone
- (317) 520-4650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
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