Organization
EVANSVILLE PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E BRUGGENSCHMIDT MHA (OFFICE MANAGER)
(812) 422-7974
Entity
Organization
Contact information
Practice address
2015 MAXWELL AVENUE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVENUE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 422-8163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
01047200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821020819
PERSONAL NPI
IN
05
—
200149890A
—
IN
05
—
200267910A
—
IN
Enumeration date
11/07/2006
Last updated
08/18/2008
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