Individual
DR. KEVIN DALE EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1200 LARIMER STREET, NORTH CLASSROOM BUILDING, SUITE 4036, DENVER, CO 80204
(303) 854-4923
(303) 558-4263
Mailing address
PO BOX 173, DENVER, CO 80201-0173
(303) 854-4923
(303) 558-4263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2578
CO
103TC2200X
Clinical Child & Adolescent Psychologist
2578
CO
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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