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Individual

DR. HANNAH IMOGENE EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, PH.D., MPA

Contact information

Practice address
9398 CROWN CREST BLVD, PARKER, CO 80138-8573
(888) 948-6789
(877) 345-3501
Mailing address
1 KALISA WAY, STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
415
CO
103TC0700X
Clinical Psychologist
Primary
415
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY.000415
PROFESSIONAL LICENSE
CO
Enumeration date
03/08/2013
Last updated
10/05/2021
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