Organization
RIVERSEDGE PSYCHOLOGICAL SERVICES
Active
Organization
RIVERSEDGE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN EVANS PSY.D. (LICENSED PSYCHOLOGIST)
(314) 853-6667
Entity
Organization
Contact information
Practice address
8 BURGUNDY CT, IMPERIAL, MO 63052-2098
(314) 853-6667
Mailing address
PO BOX 793, IMPERIAL, MO 63052-0793
(314) 853-6667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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