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Evergreen Psychological Services
Adolescent and Children Mental Health Clinic/Center in Olympia, Washington
NPI 1184376048

Evergreen Psychological Services is an Adolescent and Children Mental Health Clinic/Center based in Olympia, WA and is specialized in Adolescent and Children Mental Health. Evergreen Psychological Services practices in Olympia, WA. The NPI Number for Evergreen Psychological Services is 1184376048 and holds a License No. (Washington).

The current practice location address for Evergreen Psychological Services is 1930 Black Lake Blvd Sw # 102, Olympia, WA and can be reached out via phone at 360-347-6172 and via fax at 360-350-4619. You can also correspond with Evergreen Psychological Services through the mailing address at 1930 BLACK LAKE BLVD SW # 102, OLYMPIA, WA - 98512-5651 (mailing address contact number: 360-347-6172).

Location: 1930 Black Lake Blvd Sw # 102, Olympia, WA, 98512-5651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184376048
Provider Name
Evergreen Psychological Services
Credential
Provider Entity Type
Organization
Address
1930 Black Lake Blvd Sw # 102, Olympia, WA, 98512-5651
Phone Number
360-347-6172
Fax Number
360-350-4619
Provider Enumeration Date
01/21/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1930 Black Lake Blvd Sw # 102
City
Olympia
State
Washington
Zip
98512-5651
Phone Number
360-347-6172
Fax Number
360-350-4619
person
Provider Business Mailing Address Details
Address
1930 Black Lake Blvd Sw # 102
City
Olympia
State
Washington
Zip
98512-5651
Phone Number
360-347-6172
Fax Number
360-350-4619
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
()
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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