Organization
EVERGREEN PSYCHOLOGY, LLC
Active
Other names
Evergreen Psychology and Psychotherapy Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F MANNIS PHD (PRESIDENT)
(301) 662-4160
Entity
Organization
Contact information
Practice address
235 W PATRICK ST, FREDERICK, MD 21701-6934
(301) 662-4160
(301) 620-4344
Mailing address
235 W PATRICK ST, FREDERICK, MD 21701-6934
(301) 662-4160
(301) 620-4344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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