| Carrie K. Evenden, Psy.d. Psychotherapy Corporation | |
|
2441 Fillmore St San Francisco CA 94115-1814 | |
| (415) 793-9643 | |
| Not Available |
| Full Name | Carrie K. Evenden, Psy.d. Psychotherapy Corporation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2441 Fillmore St, San Francisco, California |
| Authorized Official Name and Position | Carrie Kristen Evenden (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4157939643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie K. Evenden, Psy.d. Psychotherapy Corporation 2441 Fillmore St San Francisco CA 94115-1814 Ph: (415) 793-9643 | Carrie K. Evenden, Psy.d. Psychotherapy Corporation 2441 Fillmore St San Francisco CA 94115-1814 Ph: (415) 793-9643 |
| NPI Number | 1376217307 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 2365813938 |
|---|---|
| Medicare Enrollment ID | O20230118000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376217307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carrie Kristen Evenden Dvornik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285905232 PECOS PAC ID: 7315103330 Enrollment ID: I20120719000270 |
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