| Evergreen Psychology New York P.c. | |
|
513 N Gower St Los Angeles CA 90004-1301 | |
| (206) 801-1621 | |
| (206) 260-3185 |
| Full Name | Evergreen Psychology New York P.c. |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 513 N Gower St, Los Angeles, California |
| Authorized Official Name and Position | Daniel Fenton (HEAD OF NEUROPSYCHOLOGICAL SERVICES) |
| Authorized Official Contact | 4252707631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychology New York P.c. 1201 2nd Ave Ste 900 Seattle WA 98101-3020 Ph: (206) 801-1621 | Evergreen Psychology New York P.c. 513 N Gower St Los Angeles CA 90004-1301 Ph: (206) 801-1621 |
| NPI Number | 1902755325 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902755325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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