DR. LARRY DALE ARCHER (NPI# 1104833284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104833284 |
| Entity Type | Individual |
| Full Name | DR. LARRY DALE ARCHER |
| Credential | CLINICAL PSYCHOLOGIS |
| Practice Address |
Evansville Va Health Care Center 6211 E. Waterford Blvd. Evansville IN 47715 |
| Mailing Address |
722 Mels Dr Evansville IN 47712-9632 |
| Practice Telephone | 8124656202 |
| Mailing Telephone | 3173485752 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040417A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100254440B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1832 Memorial Dr, Clarksville, TN 370436311 | 9310564020 | |
| 722 Mels Dr, Evansville, IN 477129632 | 3173485752 |
| Street Address |
EVANSVILLE VA HEALTH CARE CENTER 6211 E. WATERFORD BLVD. |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790098291 | Emily L Lykins | Psychologist | 3700 Washington Ave # 2200, Evansville, IN 47714-0541 | 2010-07-26 |
| 1881853182 | The United Methodist Youth Home Inc | Psychologist | 2521 N Burkhardt Rd, Evansville, IN 47715-2151 | 2008-06-03 |
| 1770740391 | Barbara Carol Jessen | Psychologist | 1535 Red Wing Dr, Evansville, IN 47715-5249 | 2008-05-21 |
| 1629190517 | Karleen Annika Wink | Psychologist | 1501 N Stockwell Rd, Suite A, Evansville, IN 47715-2260 | 2007-04-04 |
| 1134206535 | Acacia Center for Human Growth & Development, Inc. | Psychologist | 819 W Franklin St, Evansville, IN 47710-1137 | 2006-11-01 |
| 1912096207 | Elizabeth Page Clawson | Psychologist | 4120 Bellemeade Ave, Evansville, IN 47714 | 2006-10-12 |
| 1992742068 | Fania Lee | Psychologist | 43 Washington Ave, Evansville, IN 47713-1317 | 2006-05-31 |
| 1306818786 | John Alexander Buxton | Psychologist | 5035 Charlotte Ave, Evansville, IN 47720-1466 | 2006-02-01 |
| 1316929722 | John P. Dewitt | Psychologist | 4770 Covert Ave, Suite 201, Evansville, IN 47714-5663 | 2005-11-19 |
| 1427663079 | Deaconess Hospital, Inc. | Psychologist | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2020-09-10 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on DR. LARRY DALE ARCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.