Organization
DEACONESS CLINIC, INC.
Active
Other names
Deaconess Clinic - Behavioral Health Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
7409 EAGLE CREST BLVD STE G, EVANSVILLE, IN 47715-9136
(812) 842-4020
(812) 842-4019
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/04/2024
Last updated
03/28/2024
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