Organization
DEACONESS HOSPITAL, INC.
Active
Other names
Deaconess Cross Pointe - MOB 2
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9779
(812) 450-0007
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 426-9779
(812) 450-0007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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