Provider Demographics
NPI:1225018492
Name:DARROW, EVELYN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:M
Last Name:DARROW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 W SUNSHINE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-2311
Mailing Address - Country:US
Mailing Address - Phone:417-890-0066
Mailing Address - Fax:417-890-0606
Practice Address - Street 1:1525 W SUNSHINE ST
Practice Address - Street 2:SUITE D
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-2348
Practice Address - Country:US
Practice Address - Phone:417-890-0066
Practice Address - Fax:417-890-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-21
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0438103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO498527506Medicaid