Organization
EVANS NEUROPSYCHOLOGY AND THERAPY
Active
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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