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Contact Information

EVOLUTION PSYCHOLOGY, LLC
1732A MARSH RD # 189
WILMINGTON, DE19810-4606
 Phone: 302-365-0157
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVOLUTION PSYCHOLOGY, LLC

NPI # 1194507863
LBN Legal business name EVOLUTION PSYCHOLOGY, LLC
Authorized official STEPHANIE HIGGINS - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2023
Last updated 01/19/2024 - About 2 years ago
Identifiers
DE Medicaid 1598371510
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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