Individual
DR. HANNAH IMOGENE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PH.D., MPA
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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