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Organization

EVANS NEUROPSYCHOLOGY AND THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CATHERINE EVANS PH.D. (CLINICAL PSYCHOLOGIST)
(515) 985-8209
Entity
Organization

Contact information

Practice address
1001 OFFICE PARK RD, 301, WEST DES MOINES, IA 50265-2587
(515) 985-8209
(515) 608-4405
Mailing address
1001 OFFICE PARK RD, 301, WEST DES MOINES, IA 50265-2587
(515) 985-8209
(515) 608-4405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00666
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124005129
IA
01
620003472
MEDICARE RR
IA
Enumeration date
01/26/2015
Last updated
01/26/2015
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