| Terri A Evans, PHD | |
|
1600 W 24th St, Pueblo, CO 81003-1411 | |
| (719) 546-4837 | |
| Not Available |
| Full Name | Terri A Evans |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1600 W 24th St, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780612200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2082 (Colorado) | Primary |
| Entity Name | Deer Oaks Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20170109001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Terri A Evans, PHD 1600 W 24th St, Pueblo, CO 81003-1411 Ph: (719) 546-4837 | Terri A Evans, PHD 1600 W 24th St, Pueblo, CO 81003-1411 Ph: (719) 546-4837 |
Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290 | |
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989 | |
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910 | |
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838 | |
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 | |
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552 | |
Tess Scogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4805 |