Individual
CATHERINE A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
1001 OFFICE PARK RD, SUITE 301, WEST DES MOINES, IA 50265-2587
(515) 985-8209
(515) 608-4405
Mailing address
1001 OFFICE PARK RD, SUITE 301, WEST DES MOINES, IA 50265-2587
(515) 985-8209
(515) 608-4405
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
00666
IA
103T00000X
Psychologist
Primary
00258
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124005129
—
IA
01
—
620003472
RR MEDICARE
IA
Enumeration date
12/30/2005
Last updated
01/15/2015
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