Healthcare Provider Details

I. General information

NPI: 1225018492
Provider Name (Legal Business Name): EVELYN M. DARROW PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2006
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W SUNSHINE ST SUITE D
SPRINGFIELD MO
65807-2348
US

IV. Provider business mailing address

1525 W SUNSHINE ST SUITE D
SPRINGFIELD MO
65807-2311
US

V. Phone/Fax

Practice location:
  • Phone: 417-890-0066
  • Fax: 417-890-0606
Mailing address:
  • Phone: 417-890-0066
  • Fax: 417-890-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberR0438
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberR0438
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: