Whalio Doctors

NPI 1184376048

Evergreen Psychological Services

Organisation Clinical Neuropsychologist Olympia, WA

Practice location

Address
1930 Black Lake Blvd SW # 102, Olympia, WA 98512-5651
Phone
(360) 347-6172
Fax
(360) 350-4619

Authorised official

Name
Evan Lima
Title
Owner
Phone
(360) 347-6172

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1184376048
Entity type
Organization
NPI issued
21 Jan 2022
Record last updated
21 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.