Organization
EVERGREEN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PATRICK GIGGEY PH.D. (DIRECTOR)
(410) 336-5329
Entity
Organization
Contact information
Practice address
5724 FALLS RD, BALTIMORE, MD 21209-3708
(410) 336-5329
(410) 878-2783
Mailing address
PO BOX 16277, BALTIMORE, MD 21210-0277
(410) 336-5329
(410) 878-2783
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
04688
MD
103TC0700X
Clinical Psychologist
Primary
04688
MD
Other
Enumeration date
02/04/2009
Last updated
02/19/2023
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