Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Psychological Services

Organization Clinical Neuropsychologist · NPI 1184376048

Evergreen Psychological Services is a Clinical Neuropsychologist in Olympia, Washington. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

1930 Black Lake Blvd SW # 102
Olympia, WA 98512-5651
Phone: (360) 347-6172
Fax: (360) 350-4619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1184376048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Lima — Owner · (360) 347-6172
NPI enumeratedJanuary 21, 2022
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address1930 Black Lake Blvd Sw # 102, Olympia, WA 98512-5651

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