NPI 1184376048
Evergreen Psychological Services
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
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
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.