Organization
EVERGREEN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS POTTER PH.D. (PSYCHOLOGIST)
(641) 670-0388
Entity
Organization
Contact information
Practice address
313 COLLEGE AVE, OSKALOOSA, IA 52577-1700
(641) 670-0388
Mailing address
313 COLLEGE AVE, OSKALOOSA, IA 52577-1700
(641) 670-0388
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982760070
—
IA
Enumeration date
02/27/2010
Last updated
02/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us