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EVERGREEN PSYCHOLOGICAL SERVICES LLC NPI 1164661799


NPI Information

NPI: 1164661799
Provider Name: EVERGREEN PSYCHOLOGICAL SERVICES LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
857 PARK AVE
BALTIMORE, MD
ZIP 21201
Phone: (410) 336-5329
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EVERGREEN PSYCHOLOGICAL SERVICES LLC is a clinical psychologist in Baltimore, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. EVERGREEN PSYCHOLOGICAL SERVICES LLC NPI is 1164661799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

857 PARK AVE
BALTIMORE, MD
ZIP 21201-800
Phone: (410) 336-5329
Fax: (410) 878-2783

The provider's authorized official is Paul Patrick Giggey .
The authorized official title is Director and has the following contact phone number (410) 336-5329.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist04688MARYLANDNo
2103TC0700XPsychologistClinical04688MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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