| Evie Adelman Phd Inc | |
|
323 S Broad St Lancaster OH 43130-4311 | |
| (740) 654-2555 | |
| (740) 653-1132 |
| Full Name | Evie Adelman Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 323 S Broad St, Lancaster, Ohio |
| Authorized Official Name and Position | Evie Joyce Adelman (PRESIDENT) |
| Authorized Official Contact | 7406542555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evie Adelman Phd Inc Po Box 2566 Lancaster OH 43130-5566 Ph: (740) 654-2555 | Evie Adelman Phd Inc 323 S Broad St Lancaster OH 43130-4311 Ph: (740) 654-2555 |
| NPI Number | 1477981280 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 10/15/2013 |
| Medicare PECOS PAC ID | 4688800683 |
|---|---|
| Medicare Enrollment ID | O20131121001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477981280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4462 (Ohio) | Primary |
| Provider Name | Evie J Adelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932125234 PECOS PAC ID: 5496811408 Enrollment ID: I20090226000603 |
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