Organization
EVERGREEN PSYCHOLOGY NEW YORK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FENTON PHD (HEAD OF NEUROPSYCHOLOGICAL SERVICES)
(425) 270-7631
Entity
Organization
Contact information
Practice address
513 N GOWER ST, LOS ANGELES, CA 90004-1301
(206) 801-1621
(206) 260-3185
Mailing address
1201 2ND AVE STE 900, SEATTLE, WA 98101-3020
(206) 801-1621
(206) 260-3185
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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